Provider Demographics
NPI:1881656163
Name:OSTEEN, DAVID SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SCOTT
Last Name:OSTEEN
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 1:345 W MICHIGAN ST
Mailing Address - Street 2:SUITE 114
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4465
Mailing Address - Country:US
Mailing Address - Phone:408-843-9083
Mailing Address - Fax:407-420-2900
Practice Address - Street 1:345 W MICHIGAN ST
Practice Address - Street 2:SUITE 114
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4465
Practice Address - Country:US
Practice Address - Phone:408-843-9083
Practice Address - Fax:407-420-2900
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49108207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4008513OtherAETNA
FL3645985OtherCIGNA
FL3645985OtherCIGNA
FL4008513OtherAETNA