Individual
KATRINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
ME119712
FL
207VX0000X
Obstetrics Physician
Primary
ME119712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3850497
—
FL
Enumeration date
10/13/2006
Last updated
06/04/2020
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