Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME104981 | FL |
NPI | 1033291380 |
---|---|
Provider Name | Dr. David Michael Epperson |
First Address | Clearwater, FL 33762-3373 |
Second Address | Clearwater, FL 33762-3373 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 15/04/2016 |