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Individual

DR. DAVID THOMAS HOTWAGNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 335-4000
Mailing address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 335-4000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
U02784
FL

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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