Carbonara, David Michael

Carbonara, David Michael is an sole proprietor health care provider with primary practice located at 105 Southpark Blvd Ste B201 , Saint Augustine FL 32086-5159. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Carbonara, David Michael can be contacted via phone (904) 824-1636.

Contact Information

Primary practice address
105 Southpark Blvd Ste B201 Saint Augustine FL 32086-5159
Phone: (904) 824-1636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1770792384
LBN Legal business name Carbonara, David Michael
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jun 20th, 2020 - about 4 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.

Request for update

Popular Providers