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Individual

DR. MICAH GREGORY DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
316 NURSING HOME DR, ARCADIA, FL 34266-3870
(863) 993-7717
Mailing address
12140 NALL AVE STE 300, OVERLAND PARK, KS 66209-2503
(913) 498-6537
(913) 498-6708

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
ME157758
FL
208600000X
Surgery Physician
ME157758
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/12/2019
Last updated
08/11/2022
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