Individual
DAVID WILLIAM BAMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY, STE 301, DAYTONA BEACH, FL 32117-5168
(386) 677-5351
(386) 673-2787
Mailing address
305 MEMORIAL MEDICAL PKWY, STE 301, DAYTONA BEACH, FL 32117-5168
(386) 677-5351
(386) 673-2787
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291383600
—
FL
Enumeration date
08/31/2006
Last updated
01/20/2012
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