MEDICARE: BARBARA ANN DAVIS RN FIRST ASSIST

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	171W00000X	Contractor	RN869212	FL

General Provider Information

NPI Number	:	1306862305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA ANN DAVIS RN FIRST ASSIST

Provider Business Mailing Address
First Line	:	1312 FAIRFAX CIR E
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-8612
Country	:	US
Telephone Number	:	561-964-9048
Fax Number	:	561-963-7584

Provider Business Practice Location Address
First Line	:	1312 FAIRFAX CIR E
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-8612
Country	:	US
Telephone Number	:	561-964-9048
Fax Number	:	561-963-7584

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	01/25/2026

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