Bamberger, David William

Bamberger, David William is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 301, Daytona Beach FL 32117-5168. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bamberger, David William can be contacted via phone (386) 677-5351.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 301 Daytona Beach FL 32117-5168
Phone: (386) 677-5351
Fax: (386) 673-2787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2661 Florida

Profile Details

NPI number 1568573202
LBN Legal business name Bamberger, David William
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568573202 NPPES
Florida MEDICAID 291383600

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