David Enloe, CST/CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

157385

Practice address

2253 Brookshire Ave
Winter Park, FL 32792-4725

Phone

(407) 431-1696

NPI assigned

Feb 21, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424476800000",
    "number": "1881086395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 BROOKSHIRE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924725",
            "telephone_number": "407-431-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 BROOKSHIRE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924725",
            "telephone_number": "407-431-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOE",
        "first_name": "DAVID",
        "credential": "CST/CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "157385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.