Individual
DR. DAVID SCOT GHIVIZZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1099 CITRUS TOWER BLVD, CLERMONT, FL 34711-1947
(352) 394-4071
Mailing address
1381 CITRUS TOWER BLVD, SUITE 4, CLERMONT, FL 34711-1957
(352) 243-9114
(352) 243-7822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME66530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25889
BLUE CROSS BLUE SHIELD
FL
01
—
50075802
RAIL ROAD MEDICARE
—
Enumeration date
05/22/2006
Last updated
03/14/2008
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