Davison, William John

Davison, William John is an individual health care provider with primary practice located at 119 Oakfield Dr , Brandon FL 33511-5779. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davison, William John can be contacted via phone (813) 681-5551.

Contact Information

Primary practice address
119 Oakfield Dr Brandon FL 33511-5779
Phone: (813) 681-5551
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103142 Florida

Profile Details

NPI number 1699702498
LBN Legal business name Davison, William John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jun 27th, 2008 - about 18 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 1699702498 NPPES
Florida MEDICAID 292281900

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