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NPI Code Detail

MEDICARE: AVI IONTEL DAVIS MD

MEDICARE: AVI IONTEL DAVIS 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
12084P0800XPsychiatry PhysicianME176169FL

General Provider Information

NPI Number : 1356919914
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVI IONTEL DAVIS MD
Provider Business Mailing Address
First Line : 2900 CORPORATE WAY
Second Line : DOOR D
City : MIRAMAR
State : FL
Zip : 33025-3925
Country : US
Telephone Number : 954-276-5603
Fax Number :
Provider Business Practice Location Address
First Line : 3440 HOLLYWOOD BLVD STE 360
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6934
Country : US
Telephone Number : 954-276-9240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 09/19/2025

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Directions to “ AVI IONTEL DAVIS MD” Practice Location

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