Organization
DAVIS FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM STEVE DAVIS MD (OWNER)
(850) 360-4150
Entity
Organization
Contact information
Practice address
5556 BROWN ST, GRACEVILLE, FL 32440-1007
(850) 360-4150
(850) 360-4155
Mailing address
5556 BROWN ST, GRACEVILLE, FL 32440-1007
(850) 360-4150
(850) 360-4155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R7779A
FLORIDA MEDICARE
FL
Enumeration date
08/17/2017
Last updated
03/17/2018
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