Davis, Clinton Bertrand

Davis, Clinton Bertrand is an individual health care provider with primary practice located at 4600 4Th Street North , St Petersburg FL 33703-3802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Davis, Clinton Bertrand can be contacted via phone (727) 527-5272.

Contact Information

Primary practice address
4600 4Th Street North St Petersburg FL 33703-3802
Phone: (727) 527-5272
Fax: (727) 522-7412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X ME53370 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME53370 Florida

Profile Details

NPI number 1043283948
LBN Legal business name Davis, Clinton Bertrand
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Apr 16th, 2020 - about 4 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 1043283948 NPPES
Florida Other L9968 MEDICARE
Florida MEDICAID 049362700 MEDICARE

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