Mark Davis CNP

NPI 1053705871 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1053705871
Gender Male
Enumeration Date 03/19/2015
Last Updated 03/19/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
300 S PARK RD
SUITE 400
HOLLYWOOD FL, 33021-8593, US
Phone (954) 981-6383
Fax (954) 367-8373
Business Location
300 S PARK RD
SUITE 400
HOLLYWOOD FL, 33021-8593, US
Phone (954) 981-6383
Fax (954) 367-8373
Toxanomy
Taxonomy Code 363L00000X
License State New Mexico
License Number CNP-02625
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According to our database, Mark Davis CNP NPI is 1053705871, taxonomy code is 363L00000X and license number is CNP-02625, license state is located at New Mexico. Mark Davis CNP physically located at 300 S Park Rd, Hollywood FL, 33021-8593. NPI Number Mark Davis CNP has the Individual type.

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1053705871 NPI number is provided on an as is basis without warranty of any kind. 1053705871 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Davis CNP are for informational purposes only.