DAVID WAYNE DAVIS


Address: 211 Ranchera St. Nw, Live Oak, FL 32064-8463
Phone: 3863641751

DAVID WAYNE DAVIS (NPI# 1134609704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134609704
Entity Type Individual
Full Name DAVID WAYNE DAVIS
Practice Address 211 Ranchera St. Nw
Live Oak
FL 32064-8463
Mailing Address 23343 Nw County Road 236
High Springs
FL 32643-9669
Practice Telephone 3863641751
Practice Fax Number 3863641761
Mailing Telephone 3863650809
Enumeration Date 2018-08-14
Last Update Date 2019-03-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9384698 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 211 RANCHERA ST. NW
City LIVE OAK
State FL
Zip Code 32064-8463

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912517988 Publix Super Markets, Inc Durable Medical Equipment & Medical Supplies 2215 Ohio Ave N, Live Oak, FL 32064 2020-08-05
1821641150 North Florida Natural Health, Inc Clinic/Center 405 11th Street Sw, Suite 206, Live Oak, FL 32064 2019-07-16
1558602482 North Florida Pediatrics, Pa Pediatrics 1101 Ohio Ave South, Live Oak, FL 32064 2013-03-01
1427372093 Steele Chiropractic Center, Inc Chiropractor 609 5th Street S.w., Suite 3, Live Oak, FL 32064 2010-03-25
1982855896 John Workman, Dc, Pllc Chiropractor 216 Duval St Nw, Live Oak, FL 32064 2008-10-09
1629255799 Alec Floyd Redfearn Jr. Dentist 931 North Ohio Avenue, Live Oak, FL 32064 2008-01-30
1639369051 Julie L Owens Od Pa Optometrist 522 S. Ohio Ave, Live Oak, FL 32064 2007-08-01
1568512291 Gina R Marler Speech-Language Pathologist 609 5th Street Sw Suite 3, Live Oak, FL 32064 2007-01-12
1174687230 Suwannee County School Board Local Education Agency (LEA) 702 E Second St Nw, Live Oak, FL 32064 2006-12-21
1134235583 Richard D Cason Chiropractor 328 West Howard Street, Live Oak, FL 32064 2006-08-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144850751 Jeremy Wayne Burns Nurse Practitioner 7223 Avery Rd, Live Oak, TX 78233-5400 2020-01-22
1922515667 Yvette Brooks Nurse Practitioner 14000 Dane Park, Live Oak, TX 78233-5361 2018-01-03
1942749015 Heather Meree Miles Nurse Practitioner 12602 Toepperwein Rd Ste 201, Live Oak, TX 78233-3271 2017-02-21
1134673700 Catherine Fleischman Nurse Practitioner 1101 Ohio Ave S, Live Oak, FL 32064-4146 2016-08-11
1710356282 Callie Ann Smith Nurse Practitioner 9787 100th Pl, Live Oak, FL 32060-7013 2015-09-15
1194142406 Maegan Mendoza Cheatham Nurse Practitioner 12602 Toepperwein Rd Ste 100, Live Oak, TX 78233-3204 2014-03-25
1487902417 Michelle Denise Morris Nurse Practitioner 100 Court St Se Ste 109, Live Oak, FL 32064-3203 2012-08-23
1194811893 Dana Faye Barrett-campbell Nurse Practitioner 7185 County Road 252, Live Oak, FL 32060-0868 2006-10-04
1588298129 Brittney Ann Burns Nurse Practitioner 7223 Avery Rd, Live Oak, TX 78233-5400 2020-02-22
1114574548 Kristina Melissa North Nurse Practitioner 1100 11th St Sw, Live Oak, FL 32064-3608 2019-08-21
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Competitor

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City LIVE OAK
Zip Code 32064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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