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

David Ethan Mambu

Individual provider Certified Registered Nurse Anesthetist · NPI 1295601516

David Ethan Mambu is a Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2025, 1 year ago. Practices with University of Florida Jacksonville Physicians, Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2413 Fallen Tree Dr W
Jacksonville, FL 32246-4141
Phone: (571) 330-4633
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11044264 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 11044264 (FL)

Record details

NPI number1295601516
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 14, 2025
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Florida Jacksonville Physicians, Inc. — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Jacksonville