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Deactivated NPI 1891135679 Deactivated / Inactive NPI Male Practitioner

Dr. Edwin Dyer Davis , MD

Emergency Medical Technician, Basic • Daytona Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edwin Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 26, 2013
NPI Deactivation Date August 31, 2017
Total Practice Duration ~4 Years of Practice (2013 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Davis, MD was a registered Emergency Medical Technician, Basic practicing in Daytona Beach, FL. Throughout an active medical career spanning 4 years, Dr. Davis provided care at the practice location at 523 N PENINSULA DR until profile deactivation on 2017-08-31.

Practice Location & Contact Primary Location

Practice Address

523 N Peninsula Dr
Suite 1

Daytona Beach, FL 321186907

Telephone 3862381668
Fax 3862554002

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medical Technician, Basic in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Daytona Beach, FL (62 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Emergency Medical Technician, Basic Primary Specialty

NUCC Taxonomy Code: 146N00000X

State License FL 6999

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 31, 2017

Record deactivated on August 31, 2017

NPI Profile Active June 26, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 26, 2013

Registered at 523 N PENINSULA DR, SUITE 1, DAYTONA BEACH, FL 321186907 (Tel: 3862381668)

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Updated Business Mailing Address June 26, 2013

Registered at 523 N PENINSULA DR, SUITE 1, DAYTONA BEACH, FL 321184000 (Tel: 3862381668)

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Provider Name / Credentials Updated June 26, 2013

Recorded as EDWIN DAVIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2013

Emergency Medical Technician, Basic (License #6999 in FL)

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Initial NPI Registration & Enumeration June 26, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891135679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2013
Last Update: June 26, 2013
Deactivation Date: August 31, 2017

Mailing Address

523 N Peninsula Dr, Suite 1

Daytona Beach, FL 321184000

Phone: 3862381668

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.