Active NPI
Florence Davidovski, M. D.,P.a.
- Specialist
- Baltimore, MD
National Provider Identifier
1649509746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0033449
- Legal business name
- FLORENCE DAVIDOVSKI, M. D.,P.A.
- Practice address
- 3449 Wilkens Ave
Suite 101
Baltimore, MD 21229-5281 - Phone
- (410) 646-5869
- Fax
- (410) 646-5869
- NPI assigned
- Dec 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Florence Davidovski, M.D.
- Title
- President/Owner
- Phone
- (410) 646-5353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0033449 | MD | Primary |
Addresses
Primary practice location
3449 Wilkens Ave
Suite 101
Baltimore, MD 21229-5281
Mailing address
3449 Wilkens Ave
Suite 101
Baltimore, MD 21229-5281
Phone (410) 646-5869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 549791400 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
3449 Wilkens Ave
Ste 101
Baltimore, MD 21229
Phone 41029685852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261094400000",
"number": "1649509746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3449 WILKENS AVE",
"address_2": "SUITE 101",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295281",
"telephone_number": "410-646-5869",
"fax_number": "410-646-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3449 WILKENS AVE",
"address_2": "SUITE 101",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295281",
"telephone_number": "410-646-5869",
"fax_number": "410-646-5869"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORENCE DAVIDOVSKI, M. D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-18",
"last_updated": "2009-12-18",
"status": "A",
"authorized_official_last_name": "DAVIDOVSKI",
"authorized_official_first_name": "FLORENCE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "410-646-5353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0033449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "549791400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.