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Individual

MR. DAVID JAY WITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
5162 LINTON BLVD, SUITE 105, DELRAY BEACH, FL 33484-6567
(561) 637-4539
Mailing address
9216 PICOT CT, BOYNTON BEACH, FL 33437-2464
(561) 736-7371

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005732
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y918D
BCBS OFFICE PROVIDER #
FL
Enumeration date
06/15/2006
Last updated
08/24/2010
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