Davis, Audrey J.

Davis, Audrey J. is an individual health care provider with primary practice located at 501 6Th St S , St Petersburg FL 33701-4630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Davis, Audrey J. can be contacted via phone (727) 898-7451.

Contact Information

Primary practice address
501 6Th St S St Petersburg FL 33701-4630
Phone: (727) 898-7451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME147111 Florida
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G79917 California

Profile Details

NPI number 1568540037
LBN Legal business name Davis, Audrey J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 8th, 2023 - about last year

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 1568540037 NPPES
California MEDICAID 00G799170

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