Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295949808 Individual Practitioner Male Practitioner

Dr. Edgardo Davila , MD

General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Edgardo Davila, MD is a registered healthcare professional specializing in General Practice in Jacksonville, FL. Practice services are available at 1100 CESERY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Cesery Blvd

Jacksonville, FL 322115674

Telephone 3052780200
Fax 3058514110
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
84 Specialists

Practicing in Jacksonville, FL (2490 Statewide)

Telehealth Adoption Rate
7.1% 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

CMS Verified: 2020-06-25
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN923

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
022056200 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Stacey Packman , ARNP

Nurse Practitioner - Family

NPI 1033204722

Advanced Registered Nurse Practitioner

Fidel Padilla , ARNP-FNP

Nurse Practitioner - Family

NPI 1124601232

ARNPFNP

Cynisia Mcbean , PA-C

Physician Assistant

NPI 1235305244

Physician Assistant (Certified)

NPI 1275185910

MASSAGETHERAPIST

Claudia Fernandez

Massage Therapist

NPI 1306582069
Yenifer Remartini Pacheco

Nurse Practitioner - Family

NPI 1306648993

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2020

General Practice (License #ACN923 in FL)

NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2017

Registered at 1100 CESERY BLVD, JACKSONVILLE, FL 322115674 (Tel: 3052780200)

📍
Updated Business Mailing Address August 30, 2017

Registered at 12171 SW 268TH ST, HOMESTEAD, FL 330328001 (Tel: (305) 278-0200)

👤
Provider Name / Credentials Updated August 30, 2017

Recorded as EDGARDO DAVILA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

General Practice (License #12044 in PR)

📍
Updated Business Mailing Address July 31, 2017

Registered at PO BOX 1000, PMB 078, GARROCHALES, PR 00652 (Tel: 7876420463)

👤
Provider Name / Credentials Updated July 31, 2017

Recorded as EDGARDO DAVILA, M.D.

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at BO SANTANA, SOLAR #8, URB. VILLA MENA, ARECIBO, PR 00614 (Tel: 7878803445)

📍
Updated Business Mailing Address July 08, 2007

Registered at PMB 045, P.O. BOX 144200, ARECIBO, PR 006144200 (Tel: 7878803445)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDGARDO DAVILA COLON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #12044 in PR)

🟢
Initial NPI Registration & Enumeration May 10, 2007

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: 1295949808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

12171 Sw 268th St

Homestead, FL 330328001

Phone: 3052780200

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.