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DR. DAVID M. BORTNICK PHD, PSYD

Clinical Neuropsychologist

Ocala, Florida

Provider NPI: 1356308530

Provider Information:
DR. DAVID M. BORTNICK PHD, PSYD
Gender: M
Not Sole Proprietor

Practice Location:
1130 SE 18TH PLACE  OCALA, FL 34471 US
Tel: 352-390-6656  Fax: 352-390-8756

Business Mailing Address:
1130 SE 18TH PLACE  OCALA, FL 34471 US
Tel: 352-390-6656  Fax: 352-390-8756

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
FLPY2065

Other Provider Identifiers:

IssuerNumberStateType
BCBS FL75104FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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