Individual
JOAN P. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 836-7185
(407) 836-7119
Mailing address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 836-7185
(407) 836-7119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 2090552
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120198-00
—
FL
01
—
RN 2090552
NURSE LICENSE
FL
Enumeration date
08/19/2008
Last updated
08/19/2008
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