Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David M Bortnick PHD Psy D PA

Organization Clinical Neuropsychologist · NPI 1225560949

David M Bortnick PHD Psy D PA is a Clinical Neuropsychologist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1750 Tree Blvd Ste 5
St Augustine, FL 32084-5719
Phone: (904) 342-0672
Fax: (904) 342-0673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PY2065 (FL)

Record details

NPI number1225560949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Bortnick — Owner President · (904) 392-1687
NPI enumeratedMarch 31, 2017
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing addressPo Box 3123, St Augustine, FL 32085-3123

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