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Individual
DR. MAUREEN DAVIS
Active
Individual
DR. MAUREEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHOOO7674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381425400
—
FL
01
—
465307
TUFTS PHCS
FL
01
—
54025
BLUE CROSS BLUE SHIELD
FL
01
—
P00089346
RAILROAD MEDICARE
FL
Enumeration date
09/21/2006
Last updated
12/30/2009
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