MARIAN DAVIS DPM PA - NPI 1962674903 - Podiatrist in Miami, FL

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

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About Marian Davis Dpm Pa NPPES

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

MARIAN DAVIS DPM PA (NPI 1962674903) is a healthcare organization registered as a foot & ankle surgery in Miami, Florida and active in the NPI registry since March 2008. The organization holds an CLIA Accreditation certificate valid through January 30, 2027 and lists Imaze Marian Davis, President/owner, as its authorized official.

NPPES Registry Identity

NPI1962674903

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameMARIAN DAVIS DPM PA

Location Address1190 NW 95TH ST STE 401Miami, FL 33150-2067

Mailing Address1190 Nw 95th St, Suite 108Miami, FL 33150-2063 · (305) 835-8000 · Fax (305) 835-0866

Phone(305) 835-8000

Fax(305) 835-0866

Organization SubpartNo

Authorized OfficialImaze Marian DavisPresident/owner · (305) 479-5090

Enumeration DateMarch 31, 2008

Last NPPES UpdateApril 21, 2023

NPPES CertifiedApril 21, 2023

✔ NPI 1962674903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in FL · PO 3333

1190 NW 95TH ST STE 401, Miami, FL 33150

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2144525

Marian Davis Dpm PA · Miami, FL

Active · expires Jan 30, 2027

CLIA Number10D2144525

Laboratory TypePhysician Office

Certificate Effective DateJanuary 31, 2025

Certificate Expiration DateJanuary 30, 2027

Laboratory DirectorDr. Imaze M. Davis

Laboratory Phone(305) 835-8000

Laboratory LocationMarian Davis Dpm PA1190 NW 95th St Ste 401, Miami, FL 33150

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 6

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

MRS. LEONIE VALERY DORCE ARNP

Nurse Practitioner (Adult Health)