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Individual

DAVID L CONVISSAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
282202
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD483227
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME172872
FL

Other

Enumeration date
05/16/2016
Last updated
10/06/2025
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