Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME 104291 | FL |
NPI | 1063611598 |
---|---|
Provider Name | Dr. Hugo Hernando Davila |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Vero Beach, FL 32960-6556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2007 |
Last Update Date | 08/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009449200 | (05) | FL |