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Organization
GEORGE A. DAVIS, M.D., P.A.
Active
Organization
GEORGE A. DAVIS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A DAVIS M.D. (OWNER)
(386) 328-8369
Entity
Organization
Contact information
Practice address
800 ZEAGLER DR, SUITE 120, PALATKA, FL 32177-3827
(386) 328-8369
(386) 328-8006
Mailing address
800 ZEAGLER DR, SUITE 120, PALATKA, FL 32177-3827
(386) 328-8369
(386) 328-8006
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0043912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064445500
—
FL
01
—
180002441
RR MEDICARE
—
01
—
7143688
AETNA
—
Enumeration date
04/13/2012
Last updated
04/19/2012
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