Individual
DAVID G BOSTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MBA
Contact information
Practice address
6925 LAKE ELLENOR DR STE 2, ORLANDO, FL 32809
(407) 888-9934
(407) 856-0333
Mailing address
6925 LAKE ELLENOR DR STE 2, ORLANDO, FL 32809-4631
(407) 888-9934
(407) 856-0333
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0101059208
VA
207ZP0101X
Anatomic Pathology Physician
050869
GA
207ZP0101X
Anatomic Pathology Physician
1003
MN
207ZP0101X
Anatomic Pathology Physician
29968
AZ
207ZP0101X
Anatomic Pathology Physician
D23914
MD
207ZP0101X
Anatomic Pathology Physician
DR41625
CO
207ZP0101X
Anatomic Pathology Physician
ME86147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5001699
GHI
NY
Enumeration date
09/07/2006
Last updated
06/02/2020
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