Individual
MR. DARRELL WAYNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS.
Contact information
Practice address
2370 NW 95TH AVE, CORAL SPRINGS, FL 33065-4978
(954) 752-3280
Mailing address
2370 NW 95TH AVE, CORAL SPRINGS, FL 33065-4978
(954) 752-3280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 2954
FL
Other
Enumeration date
11/04/2006
Last updated
07/08/2007
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