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Individual

DR. MARK DAVIDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
963 TOWN CENTER DR STE 200, ORANGE CITY, FL 32763-8254
(386) 775-2281
Mailing address
963 TOWN CENTER DR STE 200, ORANGE CITY, FL 32763-8254
(386) 875-2281

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1572
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040433100
FL
Enumeration date
06/19/2006
Last updated
09/25/2020
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