Provider Demographics
NPI:1245227990
Name:DAVI, RICHARD C (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:C
Last Name:DAVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8940 N KENDALL DR
Mailing Address - Street 2:#602 E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2148
Mailing Address - Country:US
Mailing Address - Phone:305-598-3227
Mailing Address - Fax:305-598-8572
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:#602 E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-598-3227
Practice Address - Fax:305-598-8572
Is Sole Proprietor?:No
Enumeration Date:2005-09-28
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME63825208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G56376Medicare UPIN
FL41498Medicare ID - Type Unspecified