Individual
DR. EDWARD LEBRETTA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6100 WINKLER RD, SUITE C, FORT MYERS, FL 33919-8126
(239) 433-3500
(239) 433-0435
Mailing address
6100 WINKLER RD, SUITE C, FORT MYERS, FL 33919-8126
(239) 433-3500
(239) 433-0435
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS0004096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066798600
—
FL
Enumeration date
08/12/2005
Last updated
02/04/2010
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