Provider Demographics
NPI:1891731188
Name:DOWNEY, DAVID R (PA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:R
Last Name:DOWNEY
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:4724 N DAVIS HWY
Mailing Address - Street 2:STE 210
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2339
Mailing Address - Country:US
Mailing Address - Phone:850-484-4080
Mailing Address - Fax:850-484-8113
Practice Address - Street 1:1717 NORTH E STREET
Practice Address - Street 2:STE 534
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6342
Practice Address - Country:US
Practice Address - Phone:850-432-3293
Practice Address - Fax:850-469-9113
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2013-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV837363A00000X
FL363A00000X363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPA 9104710OtherFLORIDA LICENSE NUMBER
NVP67083Medicare UPIN