Doctor Name: | DR. DAVID JOHN DEAM |
NPI Number: | 1730124165 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME44664 |
Business Practice Address: | 10065 Cortez Blvd Weeki Wachee, FL - 346136389 |
Business Phone Number: | 3525964660 |
Business Fax Number: | 3525964674 |
Mailing Address: | 10065 Cortez Blvd, WEEKI WACHEE |
State: | FL |
Postal Code: | 346136389 |
Phone Number: | 3525964660 |
Fax Number: | 3525964674 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 11/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME44664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |