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Individual

JOSH DANIEL DAVIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1401 CENTERVILLE RD, SUITE G-02, TALLAHASSEE, FL 32308-4647
(850) 878-8714
Mailing address
1401 CENTERVILLE RD, SUITE G-02, TALLAHASSEE, FL 32308-4647
(850) 878-8714

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME0038143
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME0038143
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00260213A
GA
05
065715800
FL
Enumeration date
07/12/2006
Last updated
01/10/2013
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