# DR. DAVID PAUL SHOWALTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215938618
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | ME60158 | FL | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 06/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 060063668 | MEDICARE RR | FL |
| 01 | — | 12342 | BCBC | FL |
| 05 | — | 372697500 | — | FL |
| 01 | — | 650501582 | TAX ID | FL |