Individual
DAVID G KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778
(352) 742-8836
(352) 742-8829
Mailing address
1737 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 742-8836
(352) 742-8829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35075829
OH
207Q00000X
Family Medicine Physician
ME108164
FL
208M00000X
Hospitalist Physician
Primary
ME108164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161128
—
OH
Enumeration date
06/18/2005
Last updated
07/18/2018
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