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NPI Code Detail

MEDICARE: DR. DON ALLEN DAVIS MD

MEDICARE: DR. DON ALLEN 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
1207RC0000XCardiovascular Disease PhysicianME120200FL
2207R00000XInternal Medicine PhysicianME120200FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154528693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DON ALLEN DAVIS MD
Provider Business Mailing Address
First Line : 1834 LISENBY AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3761
Country : US
Telephone Number : 850-215-6008
Fax Number : 850-215-6020
Provider Business Practice Location Address
First Line : 1834 LISENBY AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-3761
Country : US
Telephone Number : 850-215-6008
Fax Number : 850-215-6020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2007
Last Update Date : 03/11/2026

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