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General NPI Number Information
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NPI Number | 1306936893
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Entity Type | Individual
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Provider Name | KATRINA DAVIS MD
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 2439 BEE RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34239-6304
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Country | US
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Telephone | 941-343-0609
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Fax |
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Provider Business Mailing Address
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Address Line | 101 EYSTER BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-3608
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Country | US
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Telephone | 321-806-3929
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Fax | 877-362-5010
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | ME119712
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | ME119712
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License Number State | FL
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