Provider Demographics
NPI:1598059909
Name:HALE, DAVID G (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:HALE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:425 S HUNT CLUB BLVD
Mailing Address - Street 2:SUITE 1051
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4947
Mailing Address - Country:US
Mailing Address - Phone:407-786-4080
Mailing Address - Fax:407-786-4667
Practice Address - Street 1:425 S HUNT CLUB BLVD
Practice Address - Street 2:SUITE 1051
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4947
Practice Address - Country:US
Practice Address - Phone:407-786-4080
Practice Address - Fax:407-786-4667
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2024-01-12
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Provider Licenses
StateLicense IDTaxonomies
FLME120651208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017457800Medicaid