Provider Demographics
NPI:1487611893
Name:RINDGE, DAVID W (DOM, LAC, RN)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:RINDGE
Suffix:
Gender:M
Credentials:DOM, LAC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 E STRAWBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-4737
Mailing Address - Country:US
Mailing Address - Phone:321-728-9700
Mailing Address - Fax:321-728-2888
Practice Address - Street 1:812 E STRAWBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-4737
Practice Address - Country:US
Practice Address - Phone:321-728-9700
Practice Address - Fax:321-728-2888
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1030171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist