Active NPI
David Medical LLC
- Clinical Genetics (M.D.) Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- Legal business name
- DAVID MEDICAL LLC
- Practice address
- 1155 Wildmeadow Run
Winter Park, FL 32792-3036 - Phone
- (786) 545-6132
- NPI assigned
- Jan 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Margarita N. David, MD
- Title
- President
- Phone
- (786) 545-6132
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | Primary | ||
| Genetics Clinic/Center | 261QG0250X |
Addresses
Primary practice location
1155 Wildmeadow Run
Winter Park, FL 32792-3036
Mailing address
1155 Wildmeadow Run
Winter Park, FL 32792-3036
Phone (786) 545-6132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107666700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- David Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Biochemical Genetics
- Lake Mary, FL
- NPI 1518703891
Locations
225 W Canton Ave
Ste 200
Winter Park, FL 32789
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHAFDD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Biochemical Genetics
- Winter Park, FL
- NPI 1952763401
Clinical Genetics (M.D.)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1144936584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 WILDMEADOW RUN",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923036",
"telephone_number": "786-545-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 WILDMEADOW RUN",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923036",
"telephone_number": "786-545-6132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-29",
"status": "A",
"authorized_official_last_name": "DAVID",
"authorized_official_first_name": "MARGARITA",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-545-6132",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QG0250X",
"taxonomy_group": "",
"desc": "Clinic/Center, Genetics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107666700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.