David Wayne Forbis, PA-C

Physician Assistant, Surgical in Orange Park, FL. Individual provider (NPI-1).

NPI number1932265097

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1932265097
Entity type: Individual (NPI-1)
Name: Mr. David Wayne Forbis
Credential: PA-C
Sex: Male
Sole proprietor: Yes
Enumeration date: Dec 30, 2006
Last updated: Jul 8, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363AS0400X	Physician Assistant, Surgical	PA9101040	FL	Yes

Practice location

1715 Village Way
Orange Park, FL 32073-5263

Phone 904-264-8418 Â· Fax 904-264-9692

Mailing address

680 Ohara Rd
Middleburg, FL 32068-6857

Phone 904-276-3110 Â· Fax 904-264-9692

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