Provider Demographics
NPI:1831303064
Name:HOOD, DAVID C (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:HOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 S FORT HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3313
Mailing Address - Country:US
Mailing Address - Phone:727-216-0700
Mailing Address - Fax:727-726-7579
Practice Address - Street 1:11031 US HIGHWAY 19
Practice Address - Street 2:BLDG. I, SUITE 104
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-2213
Practice Address - Country:US
Practice Address - Phone:727-819-0368
Practice Address - Fax:727-819-8080
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 98470207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME 98470OtherMEDICAL LICENSE
FL001510400Medicaid
FL001510400Medicaid