Davis, Richard

Davis, Richard is an individual health care provider with primary practice located at 1951 Sw 172Nd Ave Suite 205, Miramar FL 33029-5593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Davis, Richard can be contacted via phone (954) 442-5191.

Contact Information

Primary practice address
1951 Sw 172Nd Ave Suite 205 Miramar FL 33029-5593
Phone: (954) 442-5191
Fax: (786) 228-2853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X ME64358 Florida

Profile Details

NPI number 1346275443
LBN Legal business name Davis, Richard
Credentials MD, FACS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 19th, 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 1346275443 NPPES
Florida MEDICAID 3734731-00

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