Provider Demographics
NPI:1285078030
Name:DAVIS, WILLIAM ARTHUR III (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ARTHUR
Last Name:DAVIS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19955 NW 27TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-2675
Mailing Address - Country:US
Mailing Address - Phone:786-595-1310
Mailing Address - Fax:786-591-6999
Practice Address - Street 1:19955 NW 27TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-2675
Practice Address - Country:US
Practice Address - Phone:786-595-1310
Practice Address - Fax:786-591-6999
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036151084207X00000X
390200000X
FLME159747207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program