Individual
DAVID EARL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6950 CENTRAL AVE, ST PETERSBURG, FL 33707-1210
(727) 343-3004
(727) 345-0454
Mailing address
6950 CENTRAL AVE, ST PETERSBURG, FL 33707-1210
(727) 343-3004
(727) 345-0454
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME43210
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130316
GHI
FL
01
—
5451200001
CIGNA GOVERNMENT SERVICES
FL
01
—
62480
BLUE CROSS/BLUE SHIELD
FL
01
—
P00240895
RAILROAD MEDICARE
FL
Enumeration date
08/19/2005
Last updated
11/23/2009
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