Individual
WARREN K. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-9000
Mailing address
21 CAMERON DR, PONTE VEDRA, FL 32081-8303
(330) 861-8996
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
34010306
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
OS12714
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057305
—
OH
Enumeration date
07/07/2008
Last updated
11/18/2015
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