Individual
DR. BARRY C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2402 FRIST BLVD, SUITE 102 & 103, FORT PIERCE, FL 34950-4838
(772) 465-4651
(772) 465-4087
Mailing address
2402 FRIST BLVD, SUITE 102 & 103, FORT PIERCE, FL 34950-4838
(772) 465-4651
(772) 465-4087
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
ME 115367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087044000
—
FL
Enumeration date
05/24/2007
Last updated
01/25/2022
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