Individual
MR. DAVID MILTON LURRY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5389 NW THYER CIR, PORT SAINT LUCIE, FL 34983-3329
(772) 204-5412
Mailing address
5389 NW THYER CIR, PORT SAINT LUCIE, FL 34983-3329
(772) 204-5412
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
18-261
FL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
10/29/2018
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