Davis, Wilda

Davis, Wilda is an individual health care provider with primary practice located at 817 N Dixie Hwy , Pompano Beach FL 33060-5621. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Davis, Wilda can be contacted via phone (954) 785-8285.

Contact Information

Primary practice address
817 N Dixie Hwy Pompano Beach FL 33060-5621
Phone: (954) 785-8285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2980 Florida

Profile Details

NPI number 1487103651
LBN Legal business name Davis, Wilda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2016
Last updated Sep 28th, 2016 - about 10 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 1487103651 NPPES
Florida MEDICAID 070812700

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