Individual
PERRY LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 OAKWOOD RD, ORANGE CITY, FL 32763-5028
(386) 218-0402
(386) 222-3795
Mailing address
960 OAKWOOD RD, ORANGE CITY, FL 32763-5028
(386) 218-0402
(386) 222-3795
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
07/31/2019
Last updated
07/31/2019
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