Richard H. Davis Jr., PA-C
Physician Assistant in Gainesville, FL. Individual provider (NPI-1).
NPI number1023040482
StatusActive
Last updated in NPPESDec 19, 2011
Details
- NPI
- 1023040482
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard H. Davis Jr.
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Dec 19, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA1845 | FL | Yes |
Practice location
1600 Sw Archer RdGainesville, FL 32610-3003
Phone 352-273-9900 · Fax 352-392-3618
Mailing address
Po Box 918025Orlando, FL 32891-8025
Phone 352-273-9900 · Fax 352-392-3618
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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