Individual
VIJAYSELWYN DAVIS DHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HEALTH PARK BLVD STE 219, ST AUGUSTINE, FL 32086-5795
(904) 819-9898
(904) 819-9594
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME104834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000949300
—
FL
Enumeration date
06/17/2009
Last updated
06/23/2023
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