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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942286380 NPPES
Florida MEDICAID 303852100

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