Individual
DR. DAVID J MENDELBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 6TH ST S, ST PETERSBURG, FL 33701-4813
(727) 822-6763
(727) 821-0649
Mailing address
600 6TH ST S, ST PETERSBURG, FL 33701-4813
(727) 822-6763
(727) 821-0649
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME79536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266967600
—
FL
01
—
K4565
MEDICARE GROUP
FL
Enumeration date
06/28/2006
Last updated
04/29/2008
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