Individual
MS. GAYLE L DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 729-6166
(321) 722-1237
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 729-6166
(321) 722-1237
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
ARNP1107662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303852100
—
FL
Enumeration date
12/19/2005
Last updated
09/17/2010
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