Carlos Manuel Davila
Carlos Manuel Davila is a Physician Assistant in Jacksonville, Florida. Qualified in 2025, 1 year ago. Practices as a sole proprietor.
- Years since qualifying
- 1
- In the registry since
- 2024
Practice location Address checks out
8505 Old Kings Rd SJacksonville, FL 32217-4848
Phone: (904) 643-0995
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1659197705 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 22, 2024 |
| Last updated in NPPES | November 22, 2024 |
| Certification date | November 22, 2024 |
| Mailing address | 8505 Old Kings Rd S, Jacksonville, FL 32217-4848 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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