Grace, David

Grace, David is an individual health care provider with primary practice located at 506 4Th Ave W , Palmetto FL 34221-5203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grace, David can be contacted via phone (941) 933-8108.

Contact Information

Primary practice address
506 4Th Ave W Palmetto FL 34221-5203
Phone: (941) 933-8108
Fax: (941) 933-8109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME42435 Florida

Profile Details

NPI number 1740275577
LBN Legal business name Grace, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Aug 25th, 2020 - about 6 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 1740275577 NPPES
Florida Other 79789 BCBS
Florida Other 110169974 BCBS
Florida Other L8143 BCBS
Florida MEDICAID 379636100 BCBS

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