Individual
DR. VICTORIA EDMOND-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(904) 236-5884
Mailing address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101240073
VA
2085R0202X
Diagnostic Radiology Physician
35.147530
OH
2085R0202X
Diagnostic Radiology Physician
D0087992
MD
2085R0202X
Diagnostic Radiology Physician
Primary
ME162702
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090
CAREFIRST BCBS
VA
05
—
010304083
—
VA
05
—
010304105
—
VA
01
—
1371666
AETNA HMO
VA
05
—
200381160
—
IN
01
—
260000
KAISER
VA
01
—
7278394
AETNA
VA
Enumeration date
06/05/2006
Last updated
04/09/2026
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