Individual
ROBERT DUANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2415 N ORANGE AVE, SUITE 700, ORLANDO, FL 32804-5505
(407) 303-2474
(407) 303-0678
Mailing address
2415 N ORANGE AVE, SUITE 700, ORLANDO, FL 32804-5505
(407) 303-2474
(407) 303-0678
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35313
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101240959
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35313
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8927722
—
NC
Enumeration date
07/06/2006
Last updated
10/16/2015
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