Organization
DAVIS DERMATOLOGY, PA
Active
Organization
DAVIS DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALERIE DAVIS MD (OWNER)
(386) 423-2218
Entity
Organization
Contact information
Practice address
504 S ORANGE ST, NEW SMYRNA BEACH, FL 32168-7319
(386) 423-2218
Mailing address
504 S ORANGE ST, NEW SMYRNA BEACH, FL 32168-7319
(386) 423-2218
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME51662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047966700
—
FL
Enumeration date
11/28/2017
Last updated
06/16/2018
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