Individual
CARRIE ANN DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1397 MEDICAL PARK BLVD STE 220, WELLINGTON, FL 33414-3187
(561) 784-0202
(561) 641-7732
Mailing address
1397 MEDICAL PARK BLVD STE 220, WELLINGTON, FL 33414-3187
(561) 784-0202
(561) 641-7732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105629
FL
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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