Diane Davis Pa

NPI 1073654547 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1073654547
Enumeration Date 02/09/2007
Last Updated 04/29/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIANE DIANE
Position OWNER
Phone (727) 375-0600
Fax (727) 375-1117
Practice Location
8050 OLD CR 54
NEW PORT RICHEY FL, 34653-6457, US
Phone (727) 375-0600
Fax (727) 375-1117
Business Location
8050 OLD CR 54
NEW PORT RICHEY FL, 34653-6457, US
Phone (727) 375-0600
Fax (727) 375-1117
Toxanomy
Taxonomy Code 235Z00000X
License State Florida
License Number SA5926
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According to our database, Diane Davis Pa NPI is 1073654547, taxonomy code is 235Z00000X and license number is SA5926, license state is located at Florida. Diane Davis Pa physically located at 8050 Old Cr 54, New Port Richey FL, 34653-6457. NPI Number 1033115704 has the healthcare provider type.

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1073654547 NPI number is provided on an as is basis without warranty of any kind. 1073654547 is maintained by the National Plan & Provider Enumeration System. The contents of Diane Davis Pa are for informational purposes only.