Individual
DR. DAVID J BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 TOUCHTON RD E, SUITE 2500, JACKSONVILLE, FL 32246-8299
(904) 232-4262
(904) 232-4230
Mailing address
CORPORATE CREDENTIALING, P.O. BOX 269, WILMINGTON, DE 19899
(302) 651-5938
(302) 651-6077
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME45470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47187900
—
FL
Enumeration date
01/16/2007
Last updated
07/08/2007
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