Organization
JOHN T DAVIDSON MD FRCS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T DAVIDSON MD FRCS PA (OWNER)
(772) 563-0146
Entity
Organization
Contact information
Practice address
1300 36TH ST STE 1H, VERO BEACH, FL 32960-4898
(772) 563-0146
(772) 770-5817
Mailing address
1300 36TH ST STE 1H, VERO BEACH, FL 32960-4898
(772) 563-0146
(772) 770-5817
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
11/23/2010
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