Individual
MR. AUGUSTUS M DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1301 S BAY ST, EUSTIS, FL 32726-5550
(352) 357-5133
(352) 357-5460
Mailing address
1301 S BAY ST, EUSTIS, FL 32726-5550
(352) 357-5133
(352) 357-5460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT20206
FL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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