| Doctor Name: | MR. ALLEN EDWARD DAVIS |
| NPI Number: | 1063784791 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | ARNP3160442 |
| Business Practice Address: | 545 W Granada Blvd Ormond Beach, FL - 321745103 |
| Business Phone Number: | 3866154462 |
| Business Fax Number: | |
| Mailing Address: | 545 W. Granada Blvd., Ormond Medical Center OMOND BEACH |
| State: | FL |
| Postal Code: | 321741851 |
| Phone Number: | 3866154462 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2012 |
| NPI Last Update Date: | 01/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP3160442 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |