Davis, Robert A

Davis, Robert A is an individual health care provider with primary practice located at 1732 N University Dr , Pembroke Pines FL 33024-3602. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Robert A can be contacted via phone (954) 432-7711.

Contact Information

Primary practice address
1732 N University Dr Pembroke Pines FL 33024-3602
Phone: (954) 432-7711
Fax: (954) 432-8017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 946 Florida

Profile Details

NPI number 1932234523
LBN Legal business name Davis, Robert A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Apr 10th, 2012 - about 14 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 1932234523 NPPES
Florida Other VSP 3987
Florida MEDICAID 084023800 3987
Florida Other FL0946 3987
Florida Other 0599460001 3987
Florida Other 4336625 3987
Florida Other VCI 3987
Florida Other 3645 3987
Florida Other 591692925 3987

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