Healthcare Provider Details

I. General information

NPI: 1023381407
Provider Name (Legal Business Name): MARY DAVIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY BATTAGLIA LAWRENCE

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 SW 46TH CT STE 250
OCALA FL
34474-5754
US

IV. Provider business mailing address

4500 NEWBERRY RD
GAINESVILLE FL
32607-2245
US

V. Phone/Fax

Practice location:
  • Phone: 352-622-4251
  • Fax:
Mailing address:
  • Phone: 352-336-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number784836
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number21591
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9497621
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: