Individual
MICHAEL F. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 E BROWN ST, POCONO KIDS PEDIATRICS, E STROUDSBURG, PA 18301-3006
(570) 476-3585
(570) 421-9014
Mailing address
61 MEMORIAL MEDICAL PKWY, SUITE 3811, PALM COAST, FL 32164-5981
(386) 986-4919
(386) 986-4922
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS9939
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280132900
—
FL
Enumeration date
03/24/2006
Last updated
10/10/2011
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