Valerie G. Davis, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME51662 Issued in FL

Legal business name

VALERIE G. DAVIS, M.D.

Practice address

504 S Orange St
New Smyrna Beach, FL 32168-7319

Phone

(386) 423-2218

Fax

(386) 427-0980

NPI assigned

Oct 10, 2007

Last updated

Oct 10, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valerie G Davis, MDNPI 1457332819

Title

President

Phone

(386) 423-2218

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie G. Davis, M.D.

  • Procedural Dermatology Physician
  • New Smyrna Beach, FL
  • NPI 1457332819
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1477741916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S ORANGE ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687319",
            "telephone_number": "386-423-2218",
            "fax_number": "386-427-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S ORANGE ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687319",
            "telephone_number": "386-423-2218",
            "fax_number": "386-427-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE G. DAVIS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-423-2218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME51662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K1455",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Procedural Dermatology Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.