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Individual

DR. DAVID GRAYSON WEATHERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
86 W UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(407) 841-5133
(407) 237-6313
Mailing address
86 W UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(407) 841-5133
(407) 237-6313

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TRN32702
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TRN32702
TRAINING LICENSE
FL
Enumeration date
06/28/2021
Last updated
06/28/2021
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