Individual
DAVID THOMAS WENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9320 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 493-2513
(877) 917-2336
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME98249
FL
207RH0003X
Hematology & Oncology Physician
ME98249
FL
207RX0202X
Medical Oncology Physician
Primary
ME98249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000243600
—
FL
Enumeration date
05/01/2007
Last updated
09/02/2022
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