Individual
DR. JOHN BERTRAND DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
0039739
FL
207YS0123X
Facial Plastic Surgery Physician
Primary
MD.207761
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11986
BC/BS
FL
Enumeration date
01/08/2008
Last updated
08/13/2020
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