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Individual

CAROL FRANCES DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4641 S CLYDE MORRIS BLVD, SUITE 201, PORT ORANGE, FL 32129-6003
(386) 322-6340
(386) 322-6212
Mailing address
4641 S CLYDE MORRIS BLVD, SUITE 201, PORT ORANGE, FL 32129-6003
(386) 322-6340
(386) 322-6212

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2180162
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ARNP2180162
ARNP LICENSE NUMBER
FL
Enumeration date
01/06/2009
Last updated
11/04/2013
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