Davis, Valerie G.

Davis, Valerie G. is an sole proprietor health care provider with primary practice located at 504 S Orange St , New Smyrna Beach FL 32168-7319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Davis, Valerie G. can be contacted via phone (386) 423-2218.

Contact Information

Primary practice address
504 S Orange St New Smyrna Beach FL 32168-7319
Phone: (386) 423-2218
Fax: (386) 427-0980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME0051662 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 54808 Georgia

Profile Details

NPI number 1457332819
LBN Legal business name Davis, Valerie G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 19 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 1457332819 NPPES
Florida MEDICAID 047966700

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