Individual
RAUL DAVID DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8192 COLLEGE PKWY STE A18, FORT MYERS, FL 33919-5198
(239) 454-0418
(239) 454-0419
Mailing address
8192 COLLEGE PKWY STE A18, FORT MYERS, FL 33919-5198
(239) 454-0418
(239) 454-0419
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME79321
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME79321
FL
Other
Enumeration date
07/02/2006
Last updated
01/19/2018
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