Individual
DAVID P PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 S 14TH ST, FERNANDINA BEACH, FL 32034-3216
(904) 491-3688
(904) 390-7450
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME50432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00240028
RR MEDICARE
FL
Enumeration date
02/08/2006
Last updated
11/18/2024
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