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

Dr. Peter Glenn Davis, MD

Individual provider Emergency Medicine Physician · NPI 1457379646

Dr. Peter Glenn Davis, MD is an Emergency Medicine in Jacksonville, Florida. Graduated from University of Michigan Medical School in 2002, 24 years ago. Licensed in Florida.

Years since qualifying
24
Trained at
University of Michigan Medical School
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

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone: (904) 936-5682
Fax: (904) 346-0864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME94594 (FL)

Record details

NPI number1457379646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing address820 Prudential Dr Ste 713, Jacksonville, FL 32207-8209

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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