# GEORGE A. DAVIS, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689931727
- **Authorized official:** DR. GEORGE A DAVIS M.D. (OWNER)
- **Authorized official phone:** (386) 328-8369

## Contact information

- **Practice address:** 800 ZEAGLER DR, SUITE 120, PALATKA, FL 32177-3827
- **Practice address phone:** (386) 328-8369
- **Practice address fax:** (386) 328-8006
- **Mailing address:** 800 ZEAGLER DR, SUITE 120, PALATKA, FL 32177-3827
- **Mailing address phone:** (386) 328-8369
- **Mailing address fax:** (386) 328-8006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME0043912 | FL | Yes |

## Other

- **Enumeration date:** 04/13/2012
- **Last updated:** 04/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 064445500 | — | FL |
| 01 | — | 180002441 | RR MEDICARE | — |
| 01 | — | 7143688 | AETNA | — |