Davis, Richard

Davis, Richard is an individual health care provider with primary practice located at 13411 Parker Commons Blvd Suite 101, Fort Myers FL 33912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Davis, Richard can be contacted via phone (239) 415-4900.

Contact Information

Primary practice address
13411 Parker Commons Blvd Suite 101 Fort Myers FL 33912
Phone: (239) 415-4900
Fax: (239) 337-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME19807 Florida

Profile Details

NPI number 1063492379
LBN Legal business name Davis, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 20th, 2015 - about 9 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 1063492379 NPPES
Florida Other 78030 BLUE CROSS FLORIDA

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