Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME 118859 | FL |
NPI | 1023254190 |
---|---|
Provider Name | Dr. Don Kent Davis JR. |
First Address | Jacksonville, FL 32209-6533 |
Second Address | Jacksonville, FL 32209-6533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2008 |
Last Update Date | 15/05/2014 |