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NPI Code Detail

MEDICARE: LAURENCE DAVIDSON M.D.

MEDICARE:   LAURENCE  DAVIDSON  M.D.
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
1207T00000XNeurological Surgery PhysicianME151206FL

Other Identifiers

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

General Provider Information

NPI Number : 1194934968
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURENCE DAVIDSON M.D.
Provider Business Mailing Address
First Line : 2900 CORPORATE WAY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1150 N 35TH AVE STE 520
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5431
Country : US
Telephone Number : 954-265-3500
Fax Number : 954-985-4230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 03/09/2026

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Directions to “ LAURENCE DAVIDSON M.D.” Practice Location

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