Individual
WILLIAM A DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13241 BARTRAM PARK BLVD, SUITE 1509, JACKSONVILLE, FL 32258
(904) 389-5333
(904) 389-5332
Mailing address
2 SHIRCLIFF WAY, SUITE 700 DEPAUL BLDG, JACKSONVILLE, FL 32204
(904) 389-5333
(904) 389-5332
Taxonomy
Speciality
Code
Description
License number
State
207RH0005X
Hypertension Specialist Physician
2016-01516
NC
207RN0300X
Nephrology Physician
2016-01516
NC
207RN0300X
Nephrology Physician
Primary
ME160785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780003624
—
NC
01
—
19K9R
BCBS OF NC
NC
Enumeration date
04/08/2014
Last updated
04/19/2024
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