Davis, Demekisa Sidamo

Davis, Demekisa Sidamo is an sole proprietor health care provider with primary practice located at 5301 Gulfport Blvd , Gulfport FL 33707. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Other Service Providers / Acupuncturist is his primary health care specialty. Davis, Demekisa Sidamo can be contacted via phone (727) 642-6470.

Contact Information

Primary practice address
5301 Gulfport Blvd Gulfport FL 33707
Phone: (727) 642-6470
Fax: (727) 866-8575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP1210 Florida
Other Service Providers / Naturopath 175F00000X Idaho

Profile Details

NPI number 1902987902
LBN Legal business name Davis, Demekisa Sidamo
Credentials D.O.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Nov 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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