Individual
ANAYA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
262 MIDORI WAY, MELBOURNE, FL 32904-5117
(407) 274-6252
Mailing address
262 MIDORI WAY, MELBOURNE, FL 32904-5117
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
D120-017-04-942-0
FL
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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