MEDICARE: MARLONE DAVIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle		OH

General Provider Information

NPI Number	:	1134086119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLONE DAVIS

Provider Business Mailing Address
First Line	:	25393 PLEASANT TRL
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44143-2555
Country	:	US
Telephone Number	:	216-299-5132
Fax Number	:

Provider Business Practice Location Address
First Line	:	25393 PLEASANT TRL
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44143-2555
Country	:	US
Telephone Number	:	216-299-5132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “ MARLONE DAVIS ” Practice Location

Language	Start Address	Practice Location

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