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Ivan Davis

NPI 1467645788 · on the registry since 2007

Practice

Address
1601 S.W. Archer Road
Gainesville, FL 32608
Phone
(352) 376-1611
Organisation at this address
Va
Gainesville Vamc
Malcom Randall Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
2085R0202X
Licence states on file
VA, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida