Individual
AARON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 120810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IG856Z
MEDICARE PTAN
FL
Enumeration date
07/14/2011
Last updated
07/17/2020
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