DR. EDWARD LEBRETTA DAVIS (NPI# 1437151172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437151172 |
Entity Type | Individual |
Full Name | DR. EDWARD LEBRETTA DAVIS |
Credential | DO |
Practice Address |
6100 Winkler Rd Suite C Fort Myers FL 33919-8126 |
Practice Telephone | 2394333500 |
Practice Fax Number | 2394330435 |
Mailing Telephone | 2394333500 |
Mailing Fax Number | 2394330435 |
Enumeration Date | 2005-08-12 |
Last Update Date | 2010-02-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OS0004096 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 066798600 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285887208 | Edward Christopher Davis | Dentist | 2842 Sunset Blvd, West Columbia, SC 29169-3420 | 2008-11-04 |
1891897682 | Edward T Davis | Dentist | 303 Prime Pt, Peachtree City, GA 30269-3308 | 2006-09-02 |
1558379206 | Edward Watts Davis | Optometrist | 1431 W 10th St Ste 5, Laurel, MS 39440-2626 | 2006-08-04 |
1861456725 | Edward T Davis | Family Medicine | 3213 Nazareth Rd, Palmer Township, PA 18045-2000 | 2006-04-17 |
1811970445 | Edward H Davis | Optometrist | 6081 Rte 96 S, Farmington, NY 14425 | 2005-11-29 |
1386635803 | Edward Lee Davis | Urology | 658 S Washington Ave, Glendora, CA 91740-4330 | 2005-11-03 |
1336686021 | Edward Davis | Counselor | 2595 International Blvd, Oakland, CA 94601-1509 | 2017-01-19 |
1801332127 | Edward Mitchell Davis Jr. | Dentist | 300 Carlsbad Village Dr, Suite 203, Carlsbad, CA 92008-2900 | 2017-01-10 |
1497166854 | Edward Britt Davis | Psychologist | 7 Blanchard Cir, Suite #201, Wheaton, IL 60189-2037 | 2014-05-19 |
1578818589 | Edward Davis | Counselor | 365 S Portage Path, Akron, OH 44320-2325 | 2012-07-16 |
Street Address |
6100 WINKLER RD SUITE C |
City | FORT MYERS |
State | FL |
Zip Code | 33919-8126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
Find all providers in zip 33919 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
1134407737 | Douglas A Newland Md Pa | Psychiatry & Neurology | 2780 Cleveland Ave Ste 810, Fort Myers, FL 33901-5817 | 2011-07-30 |
1376634246 | Schwartz and Schwartz Mdpa | Psychiatry & Neurology | 38 Barkley Cir, Suite 2, Fort Myers, FL 33907-7526 | 2006-09-27 |
1700802311 | Naili Duan | Psychiatry & Neurology | 9730 Commerce Center Ct, Fort Myers, FL 33908-3615 | 2006-07-15 |
1992774327 | Nima Mowzoon | Psychiatry & Neurology | 9110 College Pointe Court, Fort Myers, FL 33919 | 2006-03-16 |
1982673091 | Douglas Alan Newland | Psychiatry & Neurology | 13601 Plantation Rd Ste 3, Fort Myers, FL 33912-4437 | 2006-03-14 |
1881684074 | Shubhangi Atul Chumble | Psychiatry & Neurology | 9110 College Pointe Ct, Fort Myers, FL 33919 | 2005-10-27 |
1902805856 | David B Sudderth | Psychiatry & Neurology | 3210 Cleveland Ave, Suite 100, Fort Myers, FL 33901-7182 | 2005-07-21 |
1417950635 | Chris J Marino | Psychiatry & Neurology | 12670 Whitehall Dr, Fort Myers, FL 33907-3619 | 2005-05-23 |
1861495079 | William J Carracino | Psychiatry & Neurology | 13340 Metro Parkway, Suite 400, Fort Myers, FL 33966 | 2005-05-23 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33919 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.