Provider Demographics
NPI:1316980923
Name:DAVIS, JANET L (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:L
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:900 NW 17TH AVE
Mailing Address - Street 2:BOX 016960 M851
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33101-6960
Mailing Address - Country:US
Mailing Address - Phone:305-326-6031
Mailing Address - Fax:305-243-8470
Practice Address - Street 1:900 NW 17TH AVE
Practice Address - Street 2:BOX 016960 M851
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33101-6960
Practice Address - Country:US
Practice Address - Phone:305-326-6031
Practice Address - Fax:305-243-8470
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2017-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME55249207W00000X, 207WX0108X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0366056-00Medicaid
FL08508Medicare ID - Type Unspecified
FL0366056-00Medicaid