Provider Demographics
NPI:1245242700
Name:DAVIS, NORTH JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:NORTH
Middle Name:JOSEPH
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4724 NORTH DAVIS HWY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503
Mailing Address - Country:US
Mailing Address - Phone:850-438-1154
Mailing Address - Fax:850-433-6034
Practice Address - Street 1:4724 NORTH DAVIS HWY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503
Practice Address - Country:US
Practice Address - Phone:850-438-1154
Practice Address - Fax:850-433-6034
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME96447207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology