| Mr James E Davis, PA-C | |
|
16915 Scuba Crest St, Wimauma, FL 33598-2519 | |
| (901) 201-1963 | |
| Not Available |
| Full Name | Mr James E Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 16915 Scuba Crest St, Wimauma, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437179561 | NPI | - | NPPES |
| 013018900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9107700 (Florida) | Primary |
| Entity Name | MD Now Medical Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033195474 PECOS PAC ID: 3971554825 Enrollment ID: O20050208000625 |
| Entity Name | Florida Medical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750399598 PECOS PAC ID: 5799786687 Enrollment ID: O20070726000554 |
| Entity Name | Ibrahim Heart Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629511035 PECOS PAC ID: 4688958648 Enrollment ID: O20170313000103 |
| Entity Name | Emergency Medicine Services of FL LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James E Davis, PA-C Po Box 1728, Clearwater, FL 33757-1728 Ph: (727) 532-0002 | Mr James E Davis, PA-C 16915 Scuba Crest St, Wimauma, FL 33598-2519 Ph: (901) 201-1963 |
Mr. Lonnie Ray Harding, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5129 State Road 674, Suite A, Wimauma, FL 33598 Phone: 813-633-8489 Fax: 813-633-2669 |
Mr. Scott Allen French, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5121 State Road 674, Wimauma, FL 33598 Phone: 813-633-8489 Fax: 813-633-2669 |
Christina Michael Dunn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16521 S Us Highway 301, Wimauma, FL 33598 Phone: 813-844-4700 |
Victor Acevedo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4914 Babbling Brook Ln, Wimauma, FL 33598 Phone: 702-556-5755 |