Individual
RONALD G DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1245 W FAIRBANKS AVE STE 305, WINTER PARK, FL 32789-4878
(407) 293-1122
(833) 428-3595
Mailing address
1245 W FAIRBANKS AVE STE 305, WINTER PARK, FL 32789-4878
(407) 293-1122
(407) 253-2170
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
78317
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME81662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262510500
—
FL
Enumeration date
05/28/2006
Last updated
03/04/2025
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