Provider Demographics
NPI:1518703891
Name:DAVID MEDICAL LLC
Entity type:Organization
Organization Name:DAVID MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:N
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-576-2576
Mailing Address - Street 1:2312 KESTREL PERCH PL
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3039
Mailing Address - Country:US
Mailing Address - Phone:407-576-2576
Mailing Address - Fax:888-440-7359
Practice Address - Street 1:801 INTERNATIONAL PKWY STE 500
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4763
Practice Address - Country:US
Practice Address - Phone:407-576-2576
Practice Address - Fax:888-440-7359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207SG0207XAllopathic & Osteopathic PhysiciansMedical GeneticsMedical Biochemical GeneticsGroup - Single Specialty