Provider Demographics
NPI:1659695864
Name:DAVID C. MAI, DPM PA
Entity Type:Organization
Organization Name:DAVID C. MAI, DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:MAI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:714-552-7786
Mailing Address - Street 1:7407 MIAMI LAKES DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6818
Mailing Address - Country:US
Mailing Address - Phone:305-827-0712
Mailing Address - Fax:305-827-0717
Practice Address - Street 1:7407 MIAMI LAKES DR
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6818
Practice Address - Country:US
Practice Address - Phone:305-827-0712
Practice Address - Fax:305-827-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-16
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3425213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty