Provider Demographics
NPI:1871683649
Name:DAVIDOVSKI, FLORENCE (MD)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:DAVIDOVSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3449 WILKENS AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5281
Mailing Address - Country:US
Mailing Address - Phone:410-646-5353
Mailing Address - Fax:410-646-5869
Practice Address - Street 1:3449 WILKENS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5281
Practice Address - Country:US
Practice Address - Phone:410-646-5353
Practice Address - Fax:410-646-5869
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0033449207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD706687OtherFIRST HEALTH NETWORK
MD10242OtherPRIORITY PARTNERS
MD20680OtherMAMSI/OPTIMUM CHOICE
MD2590FOtherBLUE CROSS
MD706687OtherFIRST HEALTH NETWORK
MD2590FOtherBLUE CROSS