Davids, Mark

Davids, Mark is an individual health care provider with primary practice located at 963 Town Center Dr Ste 200 , Orange City FL 32763-8254. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Davids, Mark can be contacted via phone (386) 775-2281.

Contact Information

Primary practice address
963 Town Center Dr Ste 200 Orange City FL 32763-8254
Phone: (386) 775-2281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1572 Florida

Profile Details

NPI number 1265477434
LBN Legal business name Davids, Mark
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265477434 NPPES
Florida MEDICAID 040433100

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