Healthcare Provider Details
I. General information
NPI: 1952358319
Provider Name (Legal Business Name): REPRODUCTIVE MANAGEMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/30/2006
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7051 SOUTHPOINT PKWY SUITE 200
JACKSONVILLE FL
32216-8709
US
IV. Provider business mailing address
7051 SOUTHPOINT PKWY SUITE 200
JACKSONVILLE FL
32216-8709
US
V. Phone/Fax
- Phone: 904-493-2229
- Fax: 904-396-4546
- Phone: 904-493-2229
- Fax: 904-396-4546
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
MICHAEL
DAVIS
FOX
Title or Position: OWNER
Credential: M.D.
Phone: 904-493-2229