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Individual

ELIZABETH A DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2601 S TAMIAMI TRL, SARASOTA, FL 34239-4504
(941) 488-2020
Mailing address
9801 DUPONT AVE S, SUITE 425, BLOOMINGTON, MN 55431-3100
(952) 567-6092
(952) 567-6176

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
41461
MN
207W00000X
Ophthalmology Physician
Primary
ME172916
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180042757
RAILROAD MEDICARE
MN
05
313026600
MN
05
34300100
WI
Enumeration date
09/14/2005
Last updated
05/16/2025
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