Individual
MICHAEL K DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0296
(352) 265-0451
Mailing address
1600 SW ARCHER RD, BOX 100296, GAINESVILLE, FL 32610-0296
(352) 265-0451
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME91899
FL
2080P0206X
Pediatric Gastroenterology Physician
ME91899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000088600
—
FL
Enumeration date
10/06/2006
Last updated
09/29/2016
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