Individual
MR. DAVID LAWRENCE OMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHA, MSPT
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
9901 SW 89TH ST, GAINESVILLE, FL 32608-8419
(352) 495-3210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16946
FL
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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