Individual
DR. ALAN M DAVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 CULTURAL PARK BLVD, CAPE CORAL, FL 33990-1217
(239) 275-3222
(239) 332-0287
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 275-3222
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
ME82303
FL
2084P0800X
Psychiatry Physician
Primary
ME82303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215860412
—
MD
Enumeration date
07/05/2006
Last updated
12/21/2020
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