MEDICARE: DR. JUDY ANN MAYOR-DAVIES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME73801	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00213337	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5946622	OTHER	FL	AETNA
2	42685	OTHER	FL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	3764544	OTHER	FL	AETNA
6	1639820004	OTHER	FL	CIGNA
7	269852	OTHER	FL	WELLCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043293830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDY ANN MAYOR-DAVIES MD

Provider Business Mailing Address
First Line	:	1344 S APOLLO BLVD STE 406
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-3185
Country	:	US
Telephone Number	:	321-727-2990
Fax Number	:	321-724-0455

Provider Business Practice Location Address
First Line	:	2501 W NEW HAVEN AVE
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32904-3747
Country	:	US
Telephone Number	:	321-723-9411
Fax Number	:	321-724-8749

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	10/01/2025

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Directions to “ DR. JUDY ANN MAYOR-DAVIES MD” Practice Location

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