Individual
DR. DAVID SCOTT BARGNESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1715 VILLAGE WAY, ORANGE PARK, FL 32073-5263
(904) 264-8418
(904) 264-9692
Mailing address
1715 VILLAGE WAY, ORANGE PARK, FL 32073-5263
(904) 264-8418
(904) 264-9692
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME105906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193118ZA5H
MEDICARE GROUP MEMBER PTAN
DE
01
—
GS730A
MEDICARE GROUP PTAN FPS
FL
01
—
K7038B
MEDICARE GROUP PTAN ICON
FL
Enumeration date
06/02/2008
Last updated
08/13/2013
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