Individual
MARK R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 W DR M.L.K. BLVD, SUITE 630, TAMPA, FL 33607-6383
(813) 397-5300
(813) 876-0590
Mailing address
PO BOX 82969, TAMPA, FL 33682-2969
(813) 866-0930
(813) 405-3722
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME45724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045587301
—
FL
Enumeration date
02/07/2006
Last updated
07/06/2023
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