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Individual

MR. DAVID GEORGE WALLWORK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT

Contact information

Practice address
7668 S TAMIAMI TRL, SARASOTA, FL 34231-6884
(941) 926-2622
Mailing address
7668 SOUTH TAMIAMI TRAIL, SARASOTA, FL 34231
(941) 926-2622

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL 532
FL

Other

Enumeration date
05/30/2008
Last updated
05/30/2008
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