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Individual

DR. SCOTT LEE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 697-3927
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
C10011705
DE
2085R0202X
Diagnostic Radiology Physician
MD457702
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME127880
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017805600
FL
Enumeration date
03/30/2009
Last updated
01/12/2018
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