| Phillip G Davis M D P A | |
|
7560 Winkler Rd Fort Myers FL 33908-4159 | |
| (239) 454-6868 | |
| (239) 466-5254 |
| Full Name | Phillip G Davis M D P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 7560 Winkler Rd, Fort Myers, Florida |
| Authorized Official Name and Position | Phillip Gregory Davis (PRESIDENT) |
| Authorized Official Contact | 2394546868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip G Davis M D P A 7560 Winkler Rd Fort Myers FL 33908-4159 Ph: (239) 454-6868 | Phillip G Davis M D P A 7560 Winkler Rd Fort Myers FL 33908-4159 Ph: (239) 454-6868 |
| NPI Number | 1871750216 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 01/06/2010 |
| Medicare PECOS PAC ID | 8527133446 |
|---|---|
| Medicare Enrollment ID | O20080812000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871750216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME51086 (Florida) | Primary |
| Provider Name | Phillip G Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508852476 PECOS PAC ID: 9537234455 Enrollment ID: I20080812000454 |
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