Individual
THOMAS M DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 E BRANDON BLVD, BRANDON, FL 33511-5222
(813) 978-9700
(813) 972-5055
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME34915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200030849
RAILROAD MEDICARE
FL
01
—
225368
AVMED
FL
05
—
274262400
—
FL
01
—
4251405
AETNA
FL
01
—
5227264
CIGNA
FL
01
—
62215
BCBS OF FL
FL
Enumeration date
06/22/2005
Last updated
10/12/2017
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