Doctor Name: | DR. CHRISTOPHER J DAVIS |
NPI Number: | 1336138536 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME95617 |
Business Practice Address: | 2816 Manatee Ave W Bradenton, FL - 342054237 |
Business Phone Number: | 9417441200 |
Business Fax Number: | 9417441500 |
Mailing Address: | 2816 Manatee Ave W, BRADENTON |
State: | FL |
Postal Code: | 342054237 |
Phone Number: | 9417441200 |
Fax Number: | 9417441500 |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME95617 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |