Douglass, David Kevin

Douglass, David Kevin is an individual health care provider with primary practice located at 1611 S Federal Hwy , Pompano Beach FL 33062-7514. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Douglass, David Kevin can be contacted via phone (954) 800-4185.

Contact Information

Primary practice address
1611 S Federal Hwy Pompano Beach FL 33062-7514
Phone: (954) 800-4185
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9433012 Florida

Profile Details

NPI number 1780624353
LBN Legal business name Douglass, David Kevin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 12th, 2020 - about 5 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 1780624353 NPPES
Tennessee MEDICAID 3649094
Tennessee Other P00308336
Tennessee Other 4092979

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