# MARIAN DAVIS DPM PA

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

## Provider details

- **NPI number:** 1962674903
- **Authorized official:** DR. IMAZE MARIAN DAVIS DPM (PRESIDENT/OWNER)
- **Authorized official phone:** (305) 479-5090

## Contact information

- **Practice address:** 1190 NW 95TH ST STE 401, MIAMI, FL 33150-2067
- **Practice address phone:** (305) 835-8000
- **Practice address fax:** (305) 835-0866
- **Mailing address:** 1190 NW 95TH ST, SUITE 108, MIAMI, FL 33150-2063
- **Mailing address phone:** (305) 835-8000
- **Mailing address fax:** (305) 835-0866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO 3333 | FL | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 04/21/2023