Individual
DAVID WAYNE CLENDENIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1403 HIGHLAND AVE, MELBOURNE, FL 32935-6518
(321) 751-1414
(321) 751-1436
Mailing address
1403 HIGHLAND AVE, MELBOURNE, FL 32935-6518
(321) 751-1414
(321) 751-1436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101228
FL
Other
Enumeration date
03/08/2008
Last updated
03/08/2008
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