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

Warren K. Davidson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790948164

Warren K. Davidson, DO is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Licensed in Florida and Ohio. Registered with an NPI since 2008.

Licensed in
FL, OH
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone: (904) 202-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence OS12714 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 34010306 (OH)

Record details

NPI number1790948164
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 7, 2008
Last updated in NPPESNovember 18, 2015
Mailing address21 Cameron Dr, Ponte Vedra, FL 32081-8303

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