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NPI Code Detail

MEDICARE: DR. RICHARD M DAVIS MD

MEDICARE: DR. RICHARD M 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
1207W00000XOphthalmology PhysicianME 016895FL

General Provider Information

NPI Number : 1750379277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD M DAVIS MD
Provider Business Mailing Address
First Line : 4790 BARKLEY CIR BLDG C-103
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-7543
Country : US
Telephone Number : 239-936-8686
Fax Number : 239-936-2532
Provider Business Practice Location Address
First Line : 9201 CYPRESS LAKE DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4941
Country : US
Telephone Number : 239-936-8686
Fax Number : 239-936-2532
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 03/24/2011

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Directions to “ DR. RICHARD M DAVIS MD” Practice Location

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