Individual
EDMUND DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3918 VIA POINCIANA, #8, LAKE WORTH, FL 33462
(561) 964-3700
Mailing address
5700 LAKE WORTH RD, #204, LAKE WORTH, FL 33463
(561) 968-7968
(561) 964-4603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME27666
FL
Other
Enumeration date
06/19/2006
Last updated
10/03/2007
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