Davis Diagnostics LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

HCC1817-EXEMPT Issued in FL

Legal business name

DAVIS DIAGNOSTICS LLC

Practice address

290 Clyde Morris Blvd
Ste C1
Ormond Beach, FL 32174-8204

Phone

(386) 677-8680

Fax

(386) 677-6895

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Davis

Title

Owner

Phone

(386) 677-8680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Daytona Horizon MRI LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Jeffrey Davis, D.O.

  • Emergency Medicine Physician
  • West Palm Beach, FL
  • NPI 1679757082
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992708580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WASHINGTON BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365945",
            "telephone_number": "941-925-3490",
            "fax_number": "941-953-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CLYDE MORRIS BLVD",
            "address_2": "STE C1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748204",
            "telephone_number": "386-677-8680",
            "fax_number": "386-677-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-677-8680",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC1817-EXEMPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "V2694",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daytona Horizon MRI LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilia Rosa Dasilva, LMHC
• Lyndsay Daugherty
• Donna B Davenport, ARNP
• David K Yoon MD PA
• Brian T Davies
• James Russell Davis Jr., LMHC
• Katherine Davis
• Nathan Lloyd Davis, DPT
• Megan Davoli, CCC-SLP
• Rachel Dawson, M.A.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.