Individual provider · Type 1 NPI

David Matthew Mahan, MD

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1639972870 Active

Practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Mailing address

14 Winewood Ct
Fort Myers, FL 33919-7543

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639972870

David Matthew Mahan, MD's National Provider Identifier is 1639972870, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Apr 29, 2025.