Individual
DAVID WESLEY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W GRANADA BLVD, ORMOND BEACH, FL 32174-6302
(386) 677-0453
(386) 677-5494
Mailing address
77 W GRANADA BLVD, ORMOND BEACH, FL 32174-6302
(386) 677-0453
(386) 677-5494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME86066
FL
Other
Enumeration date
01/16/2007
Last updated
07/09/2007
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