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DR. EDGARDO DAVILA M.D.
NPI 1295949808
General Practice in Jacksonville, FL

Active since May 10, 2007PECOS Enrolled
1100 CESERY BLVD, JACKSONVILLE, FL 32211(305) 278-0200(305) 851-4110 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 25, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Edgardo Davila M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDGARDO DAVILA M.D. (NPI 1295949808) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (ACN923) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295949808
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. EDGARDO DAVILACredential: M.D.
Location Address1100 CESERY BLVDJacksonville, FL 32211-5674
Mailing Address12171 Sw 268th StHomestead, FL 33032-8001 · (305) 278-0200 · Fax (305) 851-4110
Phone(305) 278-0200
Fax(305) 851-4110
Sole ProprietorYes
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1295949808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN923
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1100 CESERY BLVD, Jacksonville, FL 32211
Open in Google Maps ↗

Other Identifiers 1

Medicaid022056200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edgardo Davila M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA LYNN THOMAS M.ED
Counselor
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 745-3070
CYNTHIA LEE LOTANE LCSW
Social Worker (Clinical)
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211
Duval County (904) 745-3070
KAREN JEAN BRAY LMHC
Counselor (Mental Health)
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 745-3070
MRS. WENDY WALKER HINTON B.S., MAOM
Case Manager/Care Coordinator
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211
Duval County (904) 745-3070
MS. LISA LEMKE
Counselor
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211
Duval County (904) 745-3070
MRS. HEATHER MARIE FEWOX-STEEN M.S.
Counselor (Mental Health)
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 745-3070
MRS. CYNTHIA SMITH
Counselor
1100 CESERY BLVD
JACKSONVILLE, FL 32211
Duval County (904) 448-4700
RAY E MALLARI
Case Manager/Care Coordinator
1100 CESERY BLVD, SUITE 100
JACKSONVILLE, FL 32211
Duval County (904) 745-3070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgardo Davila's NPI number?

The NPI number for Edgardo Davila is 1295949808. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Edgardo Davila located?

Edgardo Davila practices at 1100 Cesery Blvd, Jacksonville, FL 32211. The listed phone number is (305) 278-0200.

What is Edgardo Davila's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Edgardo Davila enrolled in Medicare?

Yes. Edgardo Davila is registered in the Medicare PECOS enrollment system.

What insurance does Edgardo Davila accept?

Health plans from Molina Healthcare list Edgardo Davila as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edgardo Davila was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.