Individual
MR. CLINTON BERTRAND DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 4TH STREET NORTH, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Mailing address
4600 4TH STREET NORTH, ALL FLORIDA ORTHOPAEDIC ASSOCIATES, ST PETERSBURG, FL 33703-3802
(727) 527-5272
(727) 522-7412
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME53370
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME53370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049362700
—
FL
01
—
L9968
MEDICARE
FL
Enumeration date
02/10/2006
Last updated
04/16/2020
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