Individual
DR. DAVID D. DESPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(727) 893-6198
Mailing address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(727) 893-6198
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME38147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058776100
—
FL
01
—
P00121107
RAILROAD MEDICARE NUMBER
FL
Enumeration date
05/10/2006
Last updated
05/21/2015
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