Provider Demographics
NPI:1184824187
Name:TAING, DAVID KHAIN VAY (MD, DC, CAQSM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KHAIN VAY
Last Name:TAING
Suffix:
Gender:M
Credentials:MD, DC, CAQSM
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Mailing Address - Street 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:941-267-5350
Mailing Address - Fax:941-207-5352
Practice Address - Street 1:8431 POINTE LOOP DR FL 2
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-2232
Practice Address - Country:US
Practice Address - Phone:941-267-5350
Practice Address - Fax:941-207-5352
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2022-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA58226207Q00000X
FLME110808207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA58226OtherGA MEDICAL LICENSE