| Doctor Name: | FREDRIC M DAVIS |
| NPI Number: | 1447240841 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | OS8191 |
| Business Practice Address: | 1950 Laurel Manor Dr Suite 142 The Villages, FL - 321625603 |
| Business Phone Number: | 3523267850 |
| Business Fax Number: | 3522591605 |
| Mailing Address: | 511 Medical Plaza Dr, Suite 101 LEESBURG |
| State: | FL |
| Postal Code: | 347487326 |
| Phone Number: | 3527286808 |
| Fax Number: | 3527283637 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 01/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS8191 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |