Warren K. Davidson
D.O. | Pediatric Emergency Medicine | Male
Warren K. Davidson, D.O. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Warren K. Davidson is
800 Prudential Dr, Jacksonville, Florida - 32207-8202. He can be contacted on phone at
904-202-9000.
Warren K. Davidson is a sole proprietor of his business.
NPI number (Unique professional ID) for Warren K. Davidson is
1790948164 which was assigned by NPPES on 07 Jul, 2008 and it was last updated on 18 Nov, 2015.
Warren K. Davidson license number is
OS12714 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Florida.
Warren K. Davidson has special qualifications to manage emergencies in infants and children.
Complete Profile:
Warren K. Davidson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Warren K. Davidson |
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| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Warren K. Davidson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 800 Prudential Dr
Jacksonville, FL, 32207-8202
United States |
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| Phone Number : | 904-202-9000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790948164 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2008 |
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| Last Updated On : | 18 Nov, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Warren K. Davidson are as mentioned. Primary taxonomy code for Warren K. Davidson, D.O. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 34010306 | OH |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | OS12714 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Warren K. Davidson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0057305 | MEDICAID | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 21 Cameron Dr
Ponte Vedra, FL, 32081-8303
United States |
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| Phone Number : | 330-861-8996 |
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Business Location:
Patients can refer following map for directions to
Warren K. Davidson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.