DAVID L TENNISWOOD

PANAMA CITY, FL
NPI1184674624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: FL  ME108539)
Additional Taxonomies208600000X Surgery
(Licence: KS  0428049)
Enumeration Date2006-05-12
Last Update Date2020-03-03
Business Address
DAVID L TENNISWOOD MD
619 N COVE BLVD
PANAMA CITY, FL 32401-3642
Phone number: 850-913-6960
Mailing Address
DAVID L TENNISWOOD MD
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone number: 904-450-6014
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