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Organization

G DAVID ONSTAD MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GORDON DAVID ONSTAD MD (OWNER)
(954) 491-9010
Entity
Organization

Contact information

Practice address
1960 NE 47 STREET, SUITE 105, FT LAUDERDALE, FL 33308
(954) 491-9010
(954) 491-1009
Mailing address
1960 NE 47 STREET, SUITE 105, FT LAUDERDALE, FL 33308
(954) 491-9010
(954) 491-1009

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME19304
FL

Other

Enumeration date
07/14/2006
Last updated
12/08/2009
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