MEDICARE: CINDY L. 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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	TRN9192	FL
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	036129889	IL
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME 107595	FL

General Provider Information

NPI Number	:	1760543243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY L. DAVIS M.D.

Provider Business Mailing Address
First Line	:	3141 W MCNAB RD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4806
Country	:	US
Telephone Number	:	954-977-6977
Fax Number	:	954-977-6922

Provider Business Practice Location Address
First Line	:	3728 PHILIPS HWY STE 64
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-6898
Country	:	US
Telephone Number	:	904-296-2333
Fax Number	:	904-296-8467

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	04/01/2025

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