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Individual

DR. ROBERT A DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1732 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3602
(954) 432-7711
(954) 432-8017
Mailing address
1732 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3602
(954) 432-7711
(954) 432-8017

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 946
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0599460001
DMERC
FL
05
084023800
FL
01
3645
DAVIS VISION
FL
01
4336625
AETNA
FL
01
591692925
CIGNA
FL
01
FL0946
EYEMED
FL
01
VCI
59-1692925
FL
01
VSP
3987
FL
Enumeration date
02/22/2007
Last updated
04/10/2012
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