Davis, Melvina Jackson
Davis, Melvina Jackson is an sole proprietor health care provider with primary practice located at 401 Sw 30Th Ave , Fort Lauderdale FL 33312-2012. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Davis, Melvina Jackson can be contacted via phone (954) 732-7979.Contact Information
Primary practice address
401 Sw 30Th Ave
Fort Lauderdale FL 33312-2012
Phone: (954) 732-7979
Fax: (954) 792-7069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 706 | Florida |
Profile Details
| NPI number | 1710382072 |
|---|---|
| LBN Legal business name | Davis, Melvina Jackson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2014 |
| Last updated | Oct 29th, 2014 - about 12 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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