Davis, Edward Lebretta

Davis, Edward Lebretta is an sole proprietor health care provider with primary practice located at 6100 Winkler Rd Suite C, Fort Myers FL 33919-8126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Davis, Edward Lebretta can be contacted via phone (239) 433-3500.

Contact Information

Primary practice address
6100 Winkler Rd Suite C Fort Myers FL 33919-8126
Phone: (239) 433-3500
Fax: (239) 433-0435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X OS0004096 Florida

Profile Details

NPI number 1437151172
LBN Legal business name Davis, Edward Lebretta
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Feb 4th, 2010 - about 14 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 1437151172 NPPES
Florida MEDICAID 066798600

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