Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1548474885 Deactivated / Inactive NPI Male Practitioner

Dr. David L. Packer , MD

Specialist • Hawthorne, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Packer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 09, 2007
NPI Deactivation Date July 17, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. David Packer, MD was a registered Specialist practicing in Hawthorne, FL. Throughout an active medical career spanning 13 years, Dr. Packer provided care at the practice location at 21815 SE 71ST AVE until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

21815 Se 71st Ave

Hawthorne, FL 326403974

Telephone 3524812400
Fax 3524812878
Associated Practice Facility / Clinic
🏢 Hawthorne Family Practice Llc Facility NPI 1245454586

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Hawthorne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Hawthorne, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME49926

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Brian Creghan , PA-C

Physician Assistant - Medical

NPI 1023138708

Physician Assistant (Certified)

Joseph Morgan

Physician Assistant - Medical

NPI 1982229100

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active October 16, 2009

NPI status registered as active in NPPES database

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Updated Practice Location October 16, 2009

Registered at 21815 SE 71ST AVE, HAWTHORNE, FL 326403974 (Tel: 3524812400)

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Updated Business Mailing Address October 16, 2009

Registered at 1402 NW 30TH ST, GAINESVILLE, FL 326055011 (Tel: 3216980047)

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Provider Name / Credentials Updated October 16, 2009

Recorded as DAVID PACKER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2009

Specialist (License #ME49926 in FL)

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Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548474885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: October 16, 2009
Deactivation Date: July 17, 2020

Mailing Address

1402 Nw 30th St

Gainesville, FL 326055011

Phone: 3216980047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.