Individual
CLEVELAND DAVIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8280 NW 24TH CT, PEMBROKE PINES, FL 33024-3508
(954) 589-4256
Mailing address
8280 NW 24TH CT, PEMBROKE PINES, FL 33024-3508
(954) 589-4256
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11023204
FL
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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