Douglas W David, D.O.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

OS5523 Issued in FL

Practice address

5420 NW 33Rd Ave
Suite 100
Fort Lauderdale, FL 33309-6348

Phone

(954) 486-4085

Fax

(954) 777-5328

NPI assigned

May 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Hospice and Community Services, Inc

  dba Hope Comfort Care Program

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1114225745
  Medicare reassignment NPD
• Hospice of Palm Beach County, Inc.

  • Community Based Hospice Care Agency
  • West Palm Beach, FL
  • NPI 1538174263

  Hospice and Palliative Medicine

  Medicare reassignment NPD
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Fort Lauderdale, FL
  • NPI 1144375320
  NPD (past)
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Tallahassee, FL
  • NPI 1972555464

  Hospice and Palliative Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194932244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 NW 39TH CT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248063",
            "telephone_number": "954-435-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 NW 33RD AVE",
            "address_2": "SUITE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096348",
            "telephone_number": "954-486-4085",
            "fax_number": "954-777-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "OS5523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H. Holt, M.D., P.a.
• David Mishkin D.O. P.a.
• David Saketkoo PSYD PA
• Anita Marie David, OT
• Brandon Christopher David, MD
• Andrea V Davidovich
• Candice Danielle Davids
• Sasha M Davidson, M.D.
• Suzanne Davidson
• Davie Blvd. Vision Center

• Hospice and Palliative Medicine (Family Medicine) Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.