Davis, Reginald M.

Davis, Reginald M. is an individual health care provider with primary practice located at 1305 Idlewild Ave , Green Cove Springs FL 32043-3804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Davis, Reginald M. can be contacted via phone (904) 269-6340.

Contact Information

Primary practice address
1305 Idlewild Ave Green Cove Springs FL 32043-3804
Phone: (904) 269-6340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME0010220 Florida
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X ME0010220 Florida

Profile Details

NPI number 1972688901
LBN Legal business name Davis, Reginald M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 17 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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