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Individual

DAVID METHOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
301 N ALEXANDER ST, PLANT CITY, FL 33563-4303
(813) 757-1290
Mailing address
2007 S LAKE CANNON DR NW, WINTER HAVEN, FL 33881-3057
(863) 293-2265

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1274492
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00263453
RR MCR
FL
Enumeration date
03/09/2006
Last updated
01/18/2008
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