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Individual

DR. DAVID NYLAS CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3627 UNIVERSITY BLVD S, SUITE 700, JACKSONVILLE, FL 32216-4230
(904) 399-5678
(904) 399-8488
Mailing address
3627 UNIVERSITY BLVD S, SUITE 700, JACKSONVILLE, FL 32216-4230
(904) 399-5678
(904) 399-8488

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
OTO12631
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012769300
FL
01
OTO1231
GRADUATE OSTEOPATHIC TRAINEE LICENSE NUMBER
PA
Enumeration date
09/21/2010
Last updated
01/19/2022
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