MEDICARE: DR. CHRISTOPHER M. DAVEY M.D, PA

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	207Q00000X	Family Medicine Physician	ME34037	FL

General Provider Information

NPI Number	:	1962480160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER M. DAVEY M.D, PA

Provider Business Mailing Address
First Line	:	2191 9TH AVE N
Second Line	:	SUITE 115
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33713-7146
Country	:	US
Telephone Number	:	727-321-1234
Fax Number	:	727-827-2966

Provider Business Practice Location Address
First Line	:	2191 9TH AVE N
Second Line	:	SUITE 115
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33713-7146
Country	:	US
Telephone Number	:	727-321-1234
Fax Number	:	727-827-2966

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

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	04/15/2014

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