Organization
DAVID M. BORTNICK, PHD. PSYD. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M. BORTNICK PHD., PSYD, PA (CEO)
(352) 390-6656
Entity
Organization
Contact information
Practice address
1130 SE 18TH PLACE, OCALA, FL 34471-5422
(352) 390-6656
(352) 390-8756
Mailing address
1130 SE 18TH PLACE, OCALA, FL 34471-5422
(352) 390-6656
(352) 390-8756
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
FLPY2065
FL
Other
Enumeration date
01/24/2011
Last updated
03/15/2013
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