Individual
DR. RICHARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
1951 SW 172ND AVE, SUITE 205, MIRAMAR, FL 33029-5593
(954) 442-5191
(786) 228-2853
Mailing address
2504 EAGLE RUN DR, WESTON, FL 33327-1427
(954) 389-9447
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME64358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3734731-00
—
FL
Enumeration date
07/11/2006
Last updated
06/19/2015
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