Individual
DR. DAVID ALLEN INDERWIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12484 LAKE UNDERHILL RD, ORLANDO, FL 32828-7100
(407) 281-0900
(407) 281-0900
Mailing address
11905 E COLONIAL DRIVE, ORLANDO, FL 32826-4725
(407) 281-0900
(407) 281-0900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22661
BCBS OF FL
FL
05
—
381458100
—
FL
Enumeration date
12/04/2006
Last updated
10/19/2015
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