Individual
RONALD THOMAS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3814 W EUCLID AVE, APT 30, TAMPA, FL 33629-8652
(813) 453-5678
Mailing address
PO BOX 26798, TAMPA, FL 33623-6798
(813) 453-5678
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
MA69177
FL
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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