# G DAVID ONSTAD MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760408843
- **Authorized official:** GORDON DAVID ONSTAD MD (OWNER)
- **Authorized official phone:** (954) 491-9010

## Contact information

- **Practice address:** 1960 NE 47 STREET, SUITE 105, FT LAUDERDALE, FL 33308
- **Practice address phone:** (954) 491-9010
- **Practice address fax:** (954) 491-1009
- **Mailing address:** 1960 NE 47 STREET, SUITE 105, FT LAUDERDALE, FL 33308
- **Mailing address phone:** (954) 491-9010
- **Mailing address fax:** (954) 491-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME19304 | FL | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 12/08/2009