Individual
BARRY D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
241 SE 1ST ST, BELLE GLADE, FL 33430-3501
(561) 707-9149
Mailing address
3461 FAIRLANE FARMS RD, WELLINGTON, FL 33414-8752
(561) 766-1300
(561) 693-0539
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME123475
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316112089
—
NC
05
—
NC2668
—
SC
Enumeration date
04/24/2008
Last updated
11/04/2020
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