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NPI Code Detail

MEDICARE: DR. ADAM MICHAEL DAVIS M.D.

MEDICARE: DR. ADAM MICHAEL DAVIS M.D.
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
1207YS0123XFacial Plastic Surgery PhysicianME78214FL

General Provider Information

NPI Number : 1366577926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM MICHAEL DAVIS M.D.
Provider Business Mailing Address
First Line : 1501 S MIAMI AVE
Second Line :
City : MIAMI
State : FL
Zip : 33129-1102
Country : US
Telephone Number : 305-854-0080
Fax Number : 305-854-1188
Provider Business Practice Location Address
First Line : 1501 S MIAMI AVE
Second Line :
City : MIAMI
State : FL
Zip : 33129-1102
Country : US
Telephone Number : 305-854-0080
Fax Number : 305-854-1188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/08/2007

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