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

Dr. David M Bortnick, PHDPSYDABN

Individual provider Clinical Neuropsychologist · NPI 1356308530

Dr. David M Bortnick, PHDPSYDABN is a Clinical Neuropsychologist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

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 number1356308530
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDPSYDABN
Sole proprietorNo
NPI enumeratedApril 30, 2006
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing addressPo Box 3123, St Augustine, FL 32085-3123

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