Individual
DAVID L TENNISWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 N COVE BLVD, PANAMA CITY, FL 32401-3642
(850) 913-6960
(850) 913-6961
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6014
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0428049
KS
208600000X
Surgery Physician
Primary
ME108539
FL
Other
Enumeration date
05/12/2006
Last updated
03/03/2020
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