Individual
DAVID WAYNE MUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1222 S ORANGE AVE, 2ND FLOOR, ORLANDO, FL 32806-1215
(321) 841-7700
(321) 841-7799
Mailing address
1222 S ORANGE AVE, 2ND FLOOR, ORLANDO, FL 32806-1215
(321) 841-7700
(321) 841-7799
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
A245
SC
Other
Enumeration date
07/08/2005
Last updated
04/15/2013
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