Davis, Barry C

Davis, Barry C is an individual health care provider with primary practice located at 2402 Frist Blvd Suite 102 & 103, Fort Pierce FL 34950-4838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Davis, Barry C can be contacted via phone (772) 465-4651.

Contact Information

Primary practice address
2402 Frist Blvd Suite 102 & 103 Fort Pierce FL 34950-4838
Fax: (772) 465-4087
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X ME 115367 Florida

Profile Details

NPI number 1699986612
LBN Legal business name Davis, Barry C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jan 25th, 2022 - about 2 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 1699986612 NPPES
Florida MEDICAID 0087044000

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