Individual
MR. ROBERT EARL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
1002 E MLK BLVD, TAMPA, FL 33603-4312
(813) 237-2530
Mailing address
1002 E MLK BLVD, TAMPA, FL 33603-4312
(813) 237-2530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001780800
—
FL
Enumeration date
04/12/2011
Last updated
04/12/2011
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