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Organization

DR. ROGER DAVIS, LLC

Active
Other names
D
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER DALE DAVIS PHD (OWNER)
(573) 776-0578
Entity
Organization

Contact information

Practice address
2557 SHERMAN OAK DR, NORTH PORT, FL 34289-2390
(573) 776-0578
Mailing address
2557 SHERMAN OAK DR, NORTH PORT, FL 34289-2390
(573) 776-0578

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
07/28/2023
Last updated
11/15/2023
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