Gavin R Davis
Vascular Surgeon
1 Tampa General Cir J402
Tampa
, Florida 33606-3571
Gavin R Davis
Vascular Surgeon
1 Tampa General Cir J402
Tampa
, Florida 33606-3571
(626) 851-6809
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Gavin R Davis
- 1011 Baldwin Park Blvd
- Baldwin Park, CA
- Zip : 91706-5806
- Fax : (626) 851-6809
- Phone : (626) 851-5800
Second Address
- Gavin R Davis
- 1 Tampa General Cir J402
- Tampa, FL
- Zip : 33606-3571
- Phone : (813) 844-7412
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | A137034 | CA |
National Provider Identifier
| NPI | 1023335601 |
|---|---|
| Provider Name | Gavin R Davis |
| First Address | Baldwin Park, CA 91706-5806 |
| Second Address | Tampa, FL 33606-3571 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2010 |
| Last Update Date | 29/11/2021 |
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.