Davis, Scott Lee

Davis, Scott Lee is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Davis, Scott Lee can be contacted via phone (904) 697-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 697-3927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X C10011705 Delaware
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD457702 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME127880 Florida

Profile Details

NPI number 1063654531
LBN Legal business name Davis, Scott Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2009
Last updated Jan 12th, 2018 - about 7 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 1063654531 NPPES
Florida MEDICAID 017805600

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