Davis, Reginald J
Davis, Reginald J is an individual health care provider with primary practice located at 4211 W Boy Scout Blvd Ste 400 , Tampa FL 33607-5766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Davis, Reginald J can be contacted via phone (813) 443-2108.Contact Information
Primary practice address
4211 W Boy Scout Blvd Ste 400
Tampa FL 33607-5766
Phone: (813) 443-2108
Fax: (813) 443-8255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME122117 | Florida |
Profile Details
| NPI number | 1992721021 |
|---|---|
| LBN Legal business name | Davis, Reginald J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Mar 14th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992721021 | NPPES |
| Maryland | MEDICAID | 408761500 |
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