Individual
LEILANI R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
14871 SW 158TH ST, MIAMI, FL 33187-0608
(786) 973-7275
Mailing address
14871 SW 158TH ST, MIAMI, FL 33187-0608
(786) 973-7275
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
11029137
FL
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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