Individual
DR. DAVID A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 71739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21083
BCBS
FL
01
—
21083Z
MEDICARE PTAN OHRI
FL
05
—
251423100
—
FL
01
—
PR948
MEDICARE PTAN OHMG
FL
Enumeration date
09/28/2005
Last updated
03/27/2023
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