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NPI Code Detail

MEDICARE: DR. DEAN G DAVIS M.D.

MEDICARE:  DR. DEAN G DAVIS  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
1174400000XSpecialistME0082536FL

General Provider Information

NPI Number : 1689666810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEAN G DAVIS M.D.
Provider Business Mailing Address
First Line : 4714 N ARMENIA AVE
Second Line : SUITE 202
City : TAMPA
State : FL
Zip : 33603-2603
Country : US
Telephone Number : 813-341-3223
Fax Number : 813-870-0334
Provider Business Practice Location Address
First Line : 4714 N ARMENIA AVE
Second Line : SUITE 202
City : TAMPA
State : FL
Zip : 33603-2603
Country : US
Telephone Number : 813-341-3223
Fax Number : 813-870-0334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 11/07/2012

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Directions to “ DR. DEAN G DAVIS M.D.” Practice Location

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