Davis, Stephen P.

Davis, Stephen P. is an sole proprietor health care provider with primary practice located at 2400 Se Midport Rd Suite 211, Port St Lucie FL 34952-4823. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Stephen P. can be contacted via phone (772) 398-1003.

Contact Information

Primary practice address
2400 Se Midport Rd Suite 211 Port St Lucie FL 34952-4823
Phone: (772) 398-1003
Fax: (772) 398-1772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 5785 Florida

Profile Details

NPI number 1134147283
LBN Legal business name Davis, Stephen P.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134147283 NPPES
Florida Other 125175 VALUE OPTIONS
Florida Other 5170247 VALUE OPTIONS
Florida Other 82322 VALUE OPTIONS
Florida Other 54434 VALUE OPTIONS
Florida Other IP029180 VALUE OPTIONS

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