Provider Demographics
NPI:1053410472
Name:VOELLINGER, DAVID MARK (MSPT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MARK
Last Name:VOELLINGER
Suffix:
Gender:M
Credentials:MSPT
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6169 JOG ROAD
Mailing Address - Street 2:SUITE A 11
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467
Mailing Address - Country:US
Mailing Address - Phone:561-432-0111
Mailing Address - Fax:561-432-1075
Practice Address - Street 1:11000 PROSPERITY FARMS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3462
Practice Address - Country:US
Practice Address - Phone:561-432-0111
Practice Address - Fax:561-432-1075
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2011-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPT7484225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
6697041OtherGHI
6697041OtherGHI