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NPI Code Detail

MEDICARE: WILLIAM A DAVIS RT

MEDICARE: WILLIAM A DAVIS RT
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
1227800000XCertified Respiratory TherapistTT13806FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TT13806OTHERFLSTATE OF FLORIDA

General Provider Information

NPI Number : 1457500654
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM A DAVIS RT
Provider Business Mailing Address
First Line : 2959 W MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-4956
Country : US
Telephone Number : 772-462-6601
Fax Number :
Provider Business Practice Location Address
First Line : 2959 W MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-4956
Country : US
Telephone Number : 772-462-6601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 09/11/2008

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