Davis, Derrick Anthony
Davis, Derrick Anthony is an individual health care provider with primary practice located at 320 S Flamingo Rd # 112, Pembroke Pines FL 33027-1770. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davis, Derrick Anthony can be contacted via phone (954) 558-6324.Contact Information
Primary practice address
320 S Flamingo Rd # 112
Pembroke Pines FL 33027-1770
Phone: (954) 558-6324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 9103680 | Florida |
Profile Details
| NPI number | 1285771808 |
|---|---|
| LBN Legal business name | Davis, Derrick Anthony |
| Credentials | MPH, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Aug 14th, 2013 - about 13 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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