Individual
TIMOTHY A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1706 E SEMORAN BLVD, APOPKA, FL 32703-5651
(407) 267-7374
Mailing address
33 N PARK AVE, APOPKA, FL 32703-4215
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09OOR0044
CHILD CARE
FL
Enumeration date
12/17/2020
Last updated
12/17/2020
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