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Individual
DR. DAVID PAUL SHOWALTER
Active
Individual
DR. DAVID PAUL SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME60158
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060063668
MEDICARE RR
FL
01
—
12342
BCBC
FL
05
—
372697500
—
FL
01
—
650501582
TAX ID
FL
Enumeration date
08/09/2005
Last updated
06/18/2015
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