Individual
DR. JOHN LINDEN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
(863) 294-8305
Mailing address
407 AVENUE K SE, WINTER HAVEN, FL 33880-4126
(863) 294-3504
(863) 294-8305
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078080400
—
FL
Enumeration date
06/02/2005
Last updated
01/15/2014
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