Davis, David A

Davis, David A is an individual health care provider with primary practice located at 52 W Underwood St , Orlando FL 32806-1110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Davis, David A can be contacted via phone (321) 842-8475.

Contact Information

Primary practice address
52 W Underwood St Orlando FL 32806-1110
Phone: (321) 842-8475
Fax: (407) 849-6470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME 71739 Florida

Profile Details

NPI number 1265429914
LBN Legal business name Davis, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Mar 27th, 2023 - about 3 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 1265429914 NPPES
Florida Other PR948 MEDICARE PTAN OHMG
Florida MEDICAID 251423100 MEDICARE PTAN OHMG
Florida Other 21083 MEDICARE PTAN OHMG
Florida Other 21083Z MEDICARE PTAN OHMG

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