Davidson, Gayle L
Davidson, Gayle L is an individual health care provider with primary practice located at 1223 Gateway Dr , Melbourne FL 32901-2607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Davidson, Gayle L can be contacted via phone (321) 729-6166.Contact Information
Primary practice address
1223 Gateway Dr
Melbourne FL 32901-2607
Phone: (321) 729-6166
Fax: (321) 722-1237
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | ARNP1107662 | Florida |
Profile Details
NPI number | 1942286380 |
---|---|
LBN Legal business name | Davidson, Gayle L |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2005 |
Last updated | Sep 17th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942286380 | NPPES |
Florida | MEDICAID | 303852100 |
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