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Organization
MULTI-SPECIALTY MEDICAL CONSULTANTS PLLC
Active
Organization
MULTI-SPECIALTY MEDICAL CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK A DAVIS MPH, PA (OWNER MANAGER/PHYSICIAN ASSISTANT)
(754) 205-6873
Entity
Organization
Contact information
Practice address
801 S UNIVERSITY DR, PLANTATION, FL 33324-3336
(754) 226-7576
Mailing address
801 S UNIVERSITY DR, PLANTATION, FL 33324-3336
(754) 226-7576
(754) 205-6858
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/15/2017
Last updated
10/18/2021
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