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Individual

DR. DAVID THOMAS CONNOLLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7101 PARK ST, SEMINOLE, FL 33777-4632
(727) 397-1559
(727) 391-0838
Mailing address
6900 TAVISTOCK LAKES BLVD STE 300, ORLANDO, FL 32827-7592
(321) 332-6947
(407) 313-3081

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1590
FL

Other

Enumeration date
04/11/2014
Last updated
01/02/2024
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