Organization
DAVID W POWERS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W POWERS (OWNER)
(352) 726-8660
Entity
Organization
Contact information
Practice address
310 S LINE AVE, INVERNESS, FL 34452-4606
(352) 726-8660
(352) 726-9000
Mailing address
310 S LINE AVE, INVERNESS, FL 34452-4606
(352) 726-8660
(352) 726-9000
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME14112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11053
BCBS FL
FL
Enumeration date
03/12/2015
Last updated
03/12/2015
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