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Individual

CARLOS MANUEL DAVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8505 OLD KINGS RD S, JACKSONVILLE, FL 32217-4848
(904) 643-0995
Mailing address
8505 OLD KINGS RD S, JACKSONVILLE, FL 32217-4848
(904) 643-0995

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
11/22/2024
Last updated
11/22/2024
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