Individual
EDDIE DAVIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18625 SAN RIO CIR, LUTZ, FL 33549-3918
(813) 505-3726
Mailing address
18625 SAN RIO CIR, LUTZ, FL 33549-3918
(813) 505-3726
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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