Individual
MR. DAVID KEVIN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1611 S FEDERAL HWY, POMPANO BEACH, FL 33062-7514
(954) 800-4185
Mailing address
1611 S FEDERAL HWY, POMPANO BEACH, FL 33062-7514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9433012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3649094
—
TN
01
—
4092979
BLUE CROSS
TN
01
—
P00308336
RAILROAD MEDICARE
TN
Enumeration date
06/08/2006
Last updated
11/12/2020
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