Individual
DAVID IRA METZENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
135 1ST ST SOUTH, WINTER HAVEN, FL 33880
(863) 293-1968
(863) 293-7961
Mailing address
135 1ST ST SOUTH, WINTER HAVEN, FL 33880
(863) 293-1968
(863) 293-7961
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0001385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029684800
—
FL
01
—
593258147
TAX ID
FL
Enumeration date
07/31/2006
Last updated
12/23/2010
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