Provider Demographics
NPI:1972826808
Name:MAI, DAVID CHI (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHI
Last Name:MAI
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:7407 MIAMI LAKES DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6818
Mailing Address - Country:US
Mailing Address - Phone:305-827-0712
Mailing Address - Fax:305-827-0717
Practice Address - Street 1:7407 MIAMI LAKES DR
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6818
Practice Address - Country:US
Practice Address - Phone:305-827-0712
Practice Address - Fax:305-827-0717
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO3425213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLEN366ZMedicare PIN