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Individual

DR. STEVEN M DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
483 N SEMORAN BLVD, SUITE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246
Mailing address
483 N SEMORAN BLVD, SUITE 102, WINTER PARK, FL 32792-3800
(407) 645-1847
(321) 274-0246

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME77920
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME77920
FL
207UN0901X
Nuclear Cardiology Physician
ME77920
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1742603
FIRST HEALTH PROV ID #
FL
01
17621
FHHS PROV ID #
FL
01
20171632
UNITED H'CARE PROV ID #
FL
01
2298544
AETNA PROV ID
FL
01
241017
AMERIGROUP MCD PROV ID #
FL
05
266294900
FL
01
46588
BCBS OF FL PROV ID #
FL
01
8076595
CIGNA PROV ID #
FL
01
P00171877
RAILROAD MEDICARE
FL
Enumeration date
05/31/2005
Last updated
07/20/2016
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