Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack B Davidoff, MD

Individual provider Family Medicine Physician · NPI 1972519932

Dr. Jack B Davidoff, MD is a Family Practice in Lakeland, Florida. Qualified in 1988, 38 years ago. Practices with Emergency Physicians of Central Florida LLP, a 123-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
38
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2300 E County Road 540A
Lakeland, FL 33813-3825
Phone: (863) 680-7190
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME116103 (FL)

Record details

NPI number1972519932
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023
Mailing address117 Palm Pl, Haines City, FL 33844-5813

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Emergency Physicians Of Central Florida Llp — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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