Individual
DR. JASON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2660 SW IMMANUEL DR, PALM CITY, FL 34990-2738
(772) 283-1191
(772) 283-4899
Mailing address
2660 SW IMMANUEL DR, PALM CITY, FL 34990-2738
(772) 283-1191
(772) 283-4899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5367
FL
Other
Enumeration date
04/24/2017
Last updated
03/08/2018
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