DAVID FAWKS

VENICE, FL
NPI1922094937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  ARNP1799382)
Enumeration Date2005-09-26
Last Update Date2009-02-08
Business Address
-- DAVID FAWKS ARNP
1790 E VENICE AVE SUITE 204
VENICE, FL 34292-3191
Phone number: 941-488-8884
Mailing Address
-- DAVID FAWKS ARNP
1790 E VENICE AVE SUITE 204
VENICE, FL 34292-3191
Phone number: 941-488-8884
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