Organization
VIJAYSELWYN DAVIS DHAS MD
Active
Other names
OB-GYN OF ST AUGUSTINE
Organization subpart
No
Provider details
NPI number
Authorized official
VIHAYSELWYN DAVIS DHAS MD (OWNER)
(904) 824-9444
Entity
Organization
Contact information
Practice address
301 HEALTH PARK BLVD, STE 219, ST AUGUSTINE, FL 32086-5793
(904) 824-9444
(904) 819-9594
Mailing address
PO BOX 840262, ST AUGUSTINE, FL 32080-0262
(904) 824-9444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME104834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002960100
—
FL
Enumeration date
12/08/2010
Last updated
10/18/2012
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