Dr. John Bertrand Davis
Facial Plastic Surgeon
1307 Isabel Dr
Sanibel
, Florida 33957-3511
Dr. John Bertrand Davis
Facial Plastic Surgeon
1307 Isabel Dr
Sanibel
, Florida 33957-3511
(239) 470-1020
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. John Bertrand Davis
- 1307 Isabel Dr
- Sanibel, FL
- Zip : 33957-3511
- Phone : (239) 470-1020
Second Address
- Dr. John Bertrand Davis
- 1307 Isabel Dr
- Sanibel, FL
- Zip : 33957-3511
- Phone : (239) 470-1020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YS0123X | Facial Plastic Surgeon | 0039739 | FL |
| Y | 207YS0123X | Facial Plastic Surgeon | MD.207761 | LA |
National Provider Identifier
| NPI | 1346425410 |
|---|---|
| Provider Name | Dr. John Bertrand Davis |
| First Address | Sanibel, FL 33957-3511 |
| Second Address | Sanibel, FL 33957-3511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2008 |
| Last Update Date | 13/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11986 | BC/BS (01) | FL |
| B30678 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.