Individual
DAVID PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1132
(863) 687-1439
Mailing address
800 S DAKOTA AVE, #424, TAMPA, FL 33606-2853
(813) 250-9194
(727) 507-3618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100989
FL
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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