Individual
DR. DAVID S BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 843-5270
(321) 843-5177
Mailing address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 843-5270
(321) 843-5177
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME136356
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024873900
—
FL
Enumeration date
03/27/2012
Last updated
10/17/2018
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