Ivan Davis
Diagnostic Radiology Physician in Gainesville, FL(View on Map)
Full Name
Ivan Davis
NPI Number
1467645788
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/21/2007
Specialties
(Taxonomies)Licenses
State
Florida
Virginia
License Number
ME124071
0101251873
Contact
Information
Purpose
Mailing
Location
Address
1601 S.W. ARCHER ROAD
1601 S.W. ARCHER ROAD
City
Gainesville
Gainesville
State
FL
FL
Postal Code
32608-1197
32608-1197
Country
US
US
Telephone Number
N/A
(352) 376-1611
Identifiers
Identifier
015001500
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/09/2023