Individual
WILLIAM DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5322 SW 103RD AVE, COOPER CITY, FL 33328-5618
(954) 439-0504
Mailing address
5322 SW 103RD AVE, COOPER CITY, FL 33328-5618
(954) 439-0504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL634
FL
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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