Individual
MRS. ALISON DAVIS-LAVANDOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3501 JOHNSON STREET, HOLLYWOOD, FL 33027
(954) 265-5970
Mailing address
1117 EAST HALLANDALE BEACH BLVD, HALLANDALE, FL 33009
(954) 632-5251
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9101277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291-091-800
—
FL
Enumeration date
01/10/2012
Last updated
03/23/2021
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