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General NPI Number Information
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NPI Number | 1023099462
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Entity Type | Individual
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Provider Name | JOSE J DAVILA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 62 COLUMBIA ST
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City | ORLANDO
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State | FL
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Zip | 32806-1115
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Country | US
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Telephone | 321-527-7424
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Fax | 321-843-2196
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Provider Business Mailing Address
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Address Line | 7600 S RED RD STE 229
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5408
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Country | US
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Telephone | 305-448-9018
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Fax | 305-448-1895
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME0057230
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License Number State | FL
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