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Individual

RANDY DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
654 W INDIANTOWN RD, JUPITER, FL 33458-7546
(561) 745-1002
Mailing address
1040 DEER RIDGE DR APT 510, BALTIMORE, MD 21210-2573
(561) 379-8919

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A011438
FL
225200000X
Physical Therapy Assistant
A4441
MD

Other

Enumeration date
05/23/2026
Last updated
05/23/2026
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