Individual
BERNARD SCOTT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7544 JACQUE RD, HUDSON, FL 34667-7162
(727) 697-2200
(727) 863-8774
Mailing address
12670 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
(239) 489-1235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107061
FL
Other
Enumeration date
02/08/2013
Last updated
11/08/2019
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