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Contact Information

MARK DAVIDS, DPM
963 TOWN CENTER DR STE 200
ORANGE CITY, FL32763-8254
 Phone: 386-775-2281
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARK DAVIDS · (Male)

NPI Number 1265477434
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/19/2006
Last updated 09/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO1572
  • FL Medicaid 040433100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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