Individual
MS. DYANNE JOYCE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 462-3825
(772) 462-2016
Mailing address
5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 462-3825
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6725090000
—
FL
Enumeration date
03/29/2011
Last updated
03/29/2011
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