Individual
DAVID GLENN BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAS
Contact information
Practice address
6218 US HIGHWAY 301 N, ELLENTON, FL 34222-3065
(941) 722-7200
Mailing address
3813 GULF BLVD APT 312, ST PETE BEACH, FL 33706-3924
(513) 616-8888
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5648
FL
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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