Davidson, Kim Marie

Davidson, Kim Marie is an individual health care provider with primary practice located at 23476 W Us Highway 27 , High Springs FL 32643. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davidson, Kim Marie can be contacted via phone (386) 454-0568.

Contact Information

Primary practice address
23476 W Us Highway 27 High Springs FL 32643
Phone: (386) 454-0568
Fax: (352) 224-7899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X FLME0056564 Florida

Profile Details

NPI number 1568450773
LBN Legal business name Davidson, Kim Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 10th, 2019 - about 7 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 1568450773 NPPES
Florida Other 68502 BLUE CROSS

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