Male or Other

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)

Code

2085R0202X

Primary Taxonomy

Yes

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

Provider Address

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