Organization
VALERIE G. DAVIS, M.D.
Active
Organization
VALERIE G. DAVIS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE G DAVIS MD (PRESIDENT)
(386) 423-2218
Entity
Organization
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
Primary
ME51662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K1455
MEDICARE GROUP NUMBER
FL
Enumeration date
10/10/2007
Last updated
10/10/2007
Update your record
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