Individual
MR. CARLOS MARIO DAVILA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7113 LAKNER WAY, ORLANDO, FL 32822
(321) 512-1374
Mailing address
7113 LAKNER WAY, ORLANDO, FL 32822-6112
(321) 512-1374
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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