Active NPI
Robert Davies MD PA
- Urology Physician
- Jacksonville Beach, FL
National Provider Identifier
1891821146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ROBERT DAVIES MD PA
- Practice address
- 1370 13TH Ave S
Ste 121
Jacksonville Beach, FL 32250-3230 - Phone
- (904) 249-0041
- NPI assigned
- Feb 23, 2007
- 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. Robert Davies, MD
- Title
- Presdient
- Phone
- (904) 249-0041
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1370 13TH Ave S
Ste 121
Jacksonville Beach, FL 32250-3230
Mailing address
PO Box 919027
Orlando, FL 32891-9027
Phone (904) 249-0041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1370 13th Ave S
#220
Jacksonville, FL 32250
Phone (904) 249-0041
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Jacksonville Beach, FL
- NPI 1861528101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891821146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919027",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328919027",
"telephone_number": "904-249-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 13TH AVE S",
"address_2": "STE 121",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503230",
"telephone_number": "904-249-0041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT DAVIES MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DAVIES",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESDIENT",
"authorized_official_telephone_number": "904-249-0041",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.