Individual
DAVID W POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 S LINE AVE, INVERNESS, FL 34452-4606
(352) 726-8660
(352) 726-9000
Mailing address
PO BOX 2044, INVERNESS, FL 34451-2044
(352) 586-4275
(352) 726-9000
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
E-0131
AR
2080A0000X
Pediatric Adolescent Medicine Physician
ME0014112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11053
BCBS
FL
01
—
592138484
TAX ID
FL
Enumeration date
07/17/2006
Last updated
04/20/2021
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