Provider Demographics
NPI:1871583021
Name:COWIN, DAVID J (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:COWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7560 RED BUG LAKE RD STE 2014
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6562
Mailing Address - Country:US
Mailing Address - Phone:407-392-1531
Mailing Address - Fax:407-392-1539
Practice Address - Street 1:7560 RED BUG LAKE RD STE 2014
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765
Practice Address - Country:US
Practice Address - Phone:407-392-1531
Practice Address - Fax:407-392-1539
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0083338207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270477300Medicaid
H84754Medicare UPIN
FL48320YMedicare ID - Type Unspecified
FL48320XMedicare PIN