Individual
BETSIE DAVILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
300 S PINE ISLAND RD STE 246, PLANTATION, FL 33324-2631
(217) 819-1498
Mailing address
771 N PINE ISLAND RD APT 213, PLANTATION, FL 33324-1350
(773) 217-6517
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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