David Richard Davis MD

NPI 1043234768 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1043234768
Gender Male
Enumeration Date 07/26/2006
Last Updated 09/24/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8761 PERIMETER PARK BLVD STE 106
JACKSONVILLE FL, 32216-6397, US
Phone (904) 641-6628
Fax (904) 641-6638
Business Location
48 JEFFERSON AVE
PONTE VEDRA BEACH FL, 32082-2809, US
Phone (904) 373-0841
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. David Richard Davis MD NPI is 1043234768, taxonomy code is 390200000X David Richard Davis MD physically located at 8761 Perimeter Park Blvd Ste 106, Jacksonville FL, 32216-6397. NPI Number David Richard Davis MD has the Individual type.

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1043234768 NPI number is provided on an as is basis without warranty of any kind. 1043234768 is maintained by the National Plan & Provider Enumeration System. The contents of David Richard Davis MD are for informational purposes only.