Davila, Gianina Alicia

Davila, Gianina Alicia is an individual health care provider with primary practice located at 3501 Johnson Street , Hollywood FL 33321. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Davila, Gianina Alicia can be contacted via phone (954) 265-5324.

Contact Information

Primary practice address
3501 Johnson Street Hollywood FL 33321
Phone: (954) 265-5324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME73695 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME73695 Florida

Profile Details

NPI number 1750367835
LBN Legal business name Davila, Gianina Alicia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 7th, 2015 - about 9 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 1750367835 NPPES
Florida MEDICAID 257375000

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