Individual
DONNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 SW THIRD AVE, MADISON, FL 32340-1266
(850) 973-5000
(850) 973-5007
Mailing address
178 SW ALLANDALE TRL, MADISON, FL 32340-4413
(850) 967-3500
(850) 973-5007
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1283461
FL
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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