Davis, Robert

Davis, Robert is an sole proprietor health care provider with primary practice located at 148 13Th St Sw , Largo FL 33770-3127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Davis, Robert can be contacted via phone (727) 581-8706.

Contact Information

Primary practice address
148 13Th St Sw Largo FL 33770-3127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X ME149195 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME149195 Florida

Profile Details

NPI number 1295184158
LBN Legal business name Davis, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2016
Last updated Sep 20th, 2021 - about 4 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 1295184158 NPPES
Florida MEDICAID 110149300

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