Individual
DAVID J MINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804-5521
(407) 303-2474
(407) 303-0680
Mailing address
PO BOX 862851, ORLANDO, FL 32886-2851
(954) 847-4273
(954) 847-4245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292009300
—
FL
Enumeration date
04/20/2006
Last updated
06/07/2018
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