Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | ME43052 | FL |
NPI | 1669489738 |
---|---|
Provider Name | Dr. Douglas J Davies |
First Address | Gainesville, FL 32610-0371 |
Second Address | Gainesville, FL 32610-0371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D57874 | (02) |