Individual
ANTHONY J. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(386) 424-5153
Mailing address
10 OCEAN PINES DR, ORMOND BEACH, FL 32174-8769
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS6986
FL
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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