Davis, Gwyneth A.

Davis, Gwyneth A. is an individual health care provider with primary practice located at 1601 W Timberlane Dr Suite 300, Plant City FL 33566-0957. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Gwyneth A. can be contacted via phone (813) 754-4611.

Contact Information

Primary practice address
1601 W Timberlane Dr Suite 300 Plant City FL 33566-0957
Phone: (813) 754-4611
Fax: (813) 443-8169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME84651 Florida

Profile Details

NPI number 1700848926
LBN Legal business name Davis, Gwyneth A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jan 23rd, 2015 - about 11 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 1700848926 NPPES
Florida MEDICAID 265698100

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