Individual
MAXINE REEVES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 SW ALLAPATTAH RD, INDIANTOWN, FL 34956-4307
(772) 597-9441
Mailing address
977 SW COLLEGE PARK RD, PORT SAINT LUCIE, FL 34953-5869
(305) 336-2162
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9392831
FL
Other
Enumeration date
04/13/2022
Last updated
09/07/2023
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