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NPI Code Detail

MEDICARE: CAITLIN DAVIS

MEDICARE:   CAITLIN  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
12355S0801XSpeech-Language AssistantSI2499FL

General Provider Information

NPI Number : 1144611237
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN DAVIS
Provider Business Mailing Address
First Line : 4400 12TH LN
Second Line :
City : VERO BEACH
State : FL
Zip : 32966-2619
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4715 KIRBY LOOP RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34981-5345
Country : US
Telephone Number : 772-577-6964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2015
Last Update Date : 02/10/2015

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Directions to “ CAITLIN DAVIS ” Practice Location

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