Davidson, John Linden

Davidson, John Linden is an individual health care provider with primary practice located at 407 Avenue K Se , Winter Haven FL 33880-4126. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davidson, John Linden can be contacted via phone (863) 294-3504.

Contact Information

Primary practice address
407 Avenue K Se Winter Haven FL 33880-4126
Fax: (863) 294-8305
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 1465 Florida

Profile Details

NPI number 1164424255
LBN Legal business name Davidson, John Linden
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Jan 15th, 2014 - about 10 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 1164424255 NPPES
Florida MEDICAID 078080400

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