Individual
DAVID DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8340 LAKEWOOD RANCH BLVD STE 290, LAKEWOOD RANCH, FL 34202-5182
(941) 254-6767
(941) 213-6991
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(941) 254-6767
(941) 213-6991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD070484L
PA
208600000X
Surgery Physician
Primary
ME147949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109521700
—
FL
01
—
NL667
PTAN
FL
Enumeration date
08/11/2005
Last updated
06/11/2021
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