Individual
MS. BOBBIE ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6826 GADWALL LN, ORLANDO, FL 32810-6064
(407) 285-1249
Mailing address
5340 LONG RD APT E, ORLANDO, FL 32808-1122
(407) 285-1249
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
017090100
FL
253Z00000X
In Home Supportive Care Agency
Primary
239779
FL
372500000X
Chore Provider
239779
FL
372600000X
Adult Companion
239779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017090100
—
FL
05
—
234231
—
FL
05
—
693730696
—
FL
Enumeration date
02/25/2011
Last updated
08/08/2024
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