DR. SCOTT LEE DAVIS M.D. NPI 1063654531

NPI Information

NPI: 1063654531
Provider Name: DR. SCOTT LEE DAVIS, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
807 CHILDRENS WAY
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 697-3600
Get Directions

DR. Scott Lee Davis, M.D. is a diagnostic radiology radiology in Jacksonville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Scott Lee Davis, M.D. NPI is 1063654531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

807 CHILDRENS WAY
JACKSONVILLE, FL
ZIP 32207-426
Phone: (904) 697-3600
Fax: (904) 697-3927

The NPI 1063654531 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2009 and was last updated on 1/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085P0229X	Radiology	Pediatric Radiology	C10011705	DELAWARE	No
2	2085R0202X	Radiology	Diagnostic Radiology	ME127880	FLORIDA	Yes
3	2085R0202X	Radiology	Diagnostic Radiology	MD457702	PENNSYLVANIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	017805600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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