Marc Dale Davis (NPI# 1982710513, PAC ID# 9931185881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1982710513 |
| PAC ID by PECOS | 9931185881 |
| Professional Enrollment ID | I20040629001477 |
| Full Name | Marc Dale Davis |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Address |
2100 Ocoee Apopka Rd Apopka FL 32703-9210 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749186153 |
| Number of Group Practice Members | 823 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 | FLORIDA HOSPITAL MEDICAL GROUP INC | |
| 2600 Westhall Ln, Fl 4, Maitland, FL 32751-7102 | 4072002700 | FLORIDA HOSPITAL MEDICAL GROUP INC |
| 601 E Rolling St, Orlando, FL 32803-1248 | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Physicians | 1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Kay Kaufmann | Certified Nurse Midwife (cnm) | Florida Hospital Medical Group Inc | 235 E Princeton St, Suite 200, Orlando, FL 32804-5555 |
| Jonathan Lucking | Colorectal Surgery (proctology) | Florida Hospital Medical Group Inc | 2415 Norange Ave, Suite 300, Orlando, FL 32804 |
| Amanda Nadeau | Family Medicine | Florida Hospital Medical Group Inc | 2000 Fowler Grove Blvd, Fl 3, Winter Garden, FL 34787-5050 |
| Amber Shepard | Family Medicine | Florida Hospital Medical Group Inc | 1255 State Rd 60, Suite 500, Lake Wales, FL 33853-4302 |
| Jason Smith | General Surgery | Florida Hospital Medical Group Inc | 1290 Waterman Way, Tavares, FL 32778-5229 |
| Buck Andreu Scott | General Surgery | Florida Hospital Medical Group Inc | 407 S 11th St, Lake Wales, FL 33853-4243 |
| Mitchell Machado | Medical Oncology | Florida Hospital Medical Group Inc | 7975 Lake Underhill Rd, Suite 220b, Orlando, FL 32822-8202 |
| Lennie Calderon | Nurse Practitioner | Florida Hospital Medical Group Inc | 1300 W Oak St, Kissimmee, FL 34741-4024 |
| Devlin H O'connor | Family Medicine | Florida Hospital Medical Group Inc | 3330 Waterman Way, Tavares, FL 32778-5250 |
| Tutu Cheng | Plastic and Reconstructive Surgery | Florida Hospital Medical Group Inc | 410 Lionel Way, Suite 204, Davenport, FL 33837-7809 |
| Street Address |
2100 OCOEE APOPKA RD |
| City | APOPKA |
| State | FL |
| Zip | 32703-9210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew S Taussig | Interventional Cardiology | Florida Hospital Medical Group Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Eduardo C Oliveira | Critical Care (intensivists) | Florida Hospital Medical Group Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Stefanie M Bull | Nurse Practitioner | Florida Hospital Medical Group Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Catherine Maldonado | Emergency Medicine | Florida Emergency Physicians Kang and Associates Md Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Jason B Stansberry | Critical Care (intensivists) | Florida Hospital Medical Group Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Leila Carolyn Macmahon | Nurse Practitioner | Florida Hospital Medical Group Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Mohammad Yassin M.rida Hmadeh | Critical Care (intensivists) | Florida Hospital Medical Group Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Lawren Alexandria Bril | Nurse Practitioner | Florida Hospital Medical Group Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Eduardo Jose Hernandez | Urology | Florida Hospital Medical Group Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Theodore P Box | Physician Assistant | Florida Hospital Medical Group Inc | 2100 Ocoee Apopka Rd, Apopka, FL 32703-9210 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Ray Stevenson | Pulmonary Disease | Dennis R Stevenson Md Pa | 5994 Mountbatten Cv, Apopka, FL 32703-1950 |
| Louis R Mavrides | Psychologist, Clinical | 5275 Pineview Way, Apopka, FL 32703-1962 | |
| Patrick Edward Tolan Iii | Physician Assistant | Theo Medical Dermatology LLC | 201 N Park Ave, Suite 201, Apopka, FL 32703-2507 |
| Robert W Rowe | Family Medicine | I Am Healthy, LLC | 201 N Park Ave, Suite 201, Apopka, FL 32703-4147 |
| Pawini Khanna | Pathology | Central Florida Pathology Associates Pa | 201 N Park Ave, Apopka, FL 32703-4147 |
| Ricky W Rike | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Florida Inc | 201 N Park Ave, Apopka, FL 32703-4147 |
| Edwin R Martinez | Cardiovascular Disease (cardiology) | Florida Cardiology Pa | 201 N Park Ave, Apopka, FL 32703-4147 |
| Anthony Bonanno | Anesthesiology | U S Anesthesia Partners of Florida Inc | 201 N Park Ave, Apopka, FL 32703-4147 |
| Chung-che Chang | Pathology | Central Florida Pathology Associates Pa | 201 N Park Ave, Apopka, FL 32703-4147 |
| Diana P Balsalobre | Neurology | Florida Hospital Medical Group Inc | 201 N Park Ave, Apopka, FL 32703-4147 |
| Find all physicians in zip 32703 | |||
| City | APOPKA |
| Zip Code | 32703 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | APOPKA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Marc Dale Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.