Davis, Mark R

Davis, Mark R is an individual health care provider with primary practice located at 2727 W Dr M.L.K. Blvd Suite 630, Tampa FL 33607-6383. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Davis, Mark R can be contacted via phone (813) 397-5300.

Contact Information

Primary practice address
2727 W Dr M.L.K. Blvd Suite 630 Tampa FL 33607-6383
Phone: (813) 397-5300
Fax: (813) 876-0590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME45724 Florida

Profile Details

NPI number 1245203702
LBN Legal business name Davis, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 6th, 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 1245203702 NPPES
Florida MEDICAID 045587301

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