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Individual

DR. VALERIE G. DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
504 S ORANGE ST, NEW SMYRNA BEACH, FL 32168-7319
(386) 423-2218
(386) 427-0980
Mailing address
504 S ORANGE ST, NEW SMYRNA BEACH, FL 32168-7319
(386) 423-2218
(386) 427-0980

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
54808
GA
207NS0135X
Procedural Dermatology Physician
Primary
ME0051662
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047966700
FL
Enumeration date
11/10/2005
Last updated
07/08/2007
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