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Organization
ROGERS AND DAVIDSON PA
Active
Organization
ROGERS AND DAVIDSON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M DAVIDSON MD (VICE PRESIDENT)
(352) 337-9900
Entity
Organization
Contact information
Practice address
4707 NW 53RD AVE, SUITE B, GAINESVILLE, FL 32653-4805
(352) 337-9900
(352) 374-9259
Mailing address
4707 NW 53RD AVE, SUITE B, GAINESVILLE, FL 32653-4805
(352) 337-9900
(352) 374-9259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FLME0056564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21604A
BLUE CROSS GROUP NUMBER
FL
Enumeration date
10/24/2005
Last updated
07/01/2010
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