Provider Demographics
NPI:1659803161
Name:DAVID G. WEBB, D.O.M., P.A.
Entity Type:Organization
Organization Name:DAVID G. WEBB, D.O.M., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:954-882-7241
Mailing Address - Street 1:1800 N ANDREWS AVE
Mailing Address - Street 2:APT. 8J
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-3904
Mailing Address - Country:US
Mailing Address - Phone:954-882-7241
Mailing Address - Fax:
Practice Address - Street 1:1800 N ANDREWS AVE
Practice Address - Street 2:APT. 8J
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-3904
Practice Address - Country:US
Practice Address - Phone:954-882-7241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty