Individual
DR. DEMEKISA SIDAMO DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.M.
Contact information
Practice address
5301 GULFPORT BLVD, GULFPORT, FL 33707
(727) 642-6470
(727) 866-8575
Mailing address
5301 GULFPORT BLVD., GULFPORT, FL 33707
(727) 642-6470
(727) 866-8575
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1210
FL
175F00000X
Naturopath
—
ID
Other
Enumeration date
10/17/2006
Last updated
11/26/2012
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