Individual
MR. DERRICK ANTHONY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH, PA-C
Contact information
Practice address
320 S FLAMINGO RD, # 112, PEMBROKE PINES, FL 33027-1770
(954) 558-6324
Mailing address
320 S FLAMINGO RD, # 112, PEMBROKE PINES, FL 33027-1770
(954) 558-6324
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9103680
FL
Other
Enumeration date
01/31/2007
Last updated
08/14/2013
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