Provider Demographics
NPI:1114253291
Name:KIRSCHMANN, DAVID M (BO, ABO, NCLE)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:KIRSCHMANN
Suffix:
Gender:M
Credentials:BO, ABO, NCLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:19651 BRUCE B DOWNS BLVD
Mailing Address - Street 2:STE. C7B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2445
Mailing Address - Country:US
Mailing Address - Phone:813-345-8539
Mailing Address - Fax:813-345-8557
Practice Address - Street 1:19651 BRUCE B DOWNS BLVD
Practice Address - Street 2:STE. C7B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2445
Practice Address - Country:US
Practice Address - Phone:813-345-8539
Practice Address - Fax:813-345-8557
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDO 5783156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician