| NPI | 1154453074 |
|---|---|
| Doing Business As | FREDRIC M. DAVIS,DO |
| Entity Type | Organization |
| Authorized Contact | REGINA INGRAM Administrator 352-728-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |