Individual
DR. EDGARDO DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 CESERY BLVD, JACKSONVILLE, FL 32211-5674
(305) 278-0200
(305) 851-4110
Mailing address
12171 SW 268TH ST, HOMESTEAD, FL 33032-8001
(305) 278-0200
(305) 851-4110
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022056200
—
FL
Enumeration date
05/10/2007
Last updated
07/21/2022
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