Individual
DAVID DIVIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2425 S VOLUSIA AVE STE B4, ORANGE CITY, FL 32763-7625
(321) 578-7488
Mailing address
2005 CEDAR AVE, SANFORD, FL 32771-3369
(941) 234-2683
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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