Individual
KIMBERLY ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2370 NW 95TH AVE., CORAL SPRINGS, FL 33065-4978
(954) 562-0384
Mailing address
2370 NW 95TH AVE, CORAL SPRINGS, FL 33065-4978
(954) 562-0384
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
FL
Enumeration date
07/12/2017
Last updated
07/21/2022
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