Davis, Mitchell N.

Davis, Mitchell N. is an individual health care provider with primary practice located at 1447 Medical Park Blvd Suite 205, Wellington FL 33414-3164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Davis, Mitchell N. can be contacted via phone (561) 798-2425.

Contact Information

Primary practice address
1447 Medical Park Blvd Suite 205 Wellington FL 33414-3164
Phone: (561) 798-2425
Fax: (561) 798-6356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OS6182 Florida

Profile Details

NPI number 1770502601
LBN Legal business name Davis, Mitchell N.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 10th, 2012 - about 14 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 1770502601 NPPES
Florida MEDICAID 054410800

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