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Reginald
Reginald
Davis
Neurological surgery
Medical doctor
Tampa,
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Florida Health Care Practitioner Data Portal
Full name
REGINALD DAVIS
Job Title
Medical Doctor
Location
Tampa, FL, USA
LIC ID
121938
Current License Expiration Date
31/01/2025
Original Date
07/11/2014
Professional Rank Code
ME
Effective Date
14/04/2017
Board Action Indicator
Y
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Mailing Address Line 2
Suite 400
Practice Location Address Line 1
13350 Metro Parkway
Practice Location Address City
FORT MYERS
Practice Location Address State
FL
Practice Location Address Zipcode
33966
Prescribing Indicator
Y
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