Individual
DAVID MICHAEL MISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2902
(863) 345-4350
(863) 345-4353
Mailing address
1910 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2902
(863) 345-4350
(863) 345-4353
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME0056305
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME0056305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064523100
—
FL
Enumeration date
01/25/2006
Last updated
10/05/2022
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