MEDICARE: MR. FRANCISCO DAVILA LCSW

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	1041C0700X	Clinical Social Worker	CW019013	PA

General Provider Information

NPI Number	:	1396148417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANCISCO DAVILA LCSW

Provider Business Mailing Address
First Line	:	510 HEMPSTEAD TPKE RM 203
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-1152
Country	:	US
Telephone Number	:	516-505-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 S ORANGE AVE FL 3
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3394
Country	:	US
Telephone Number	:	516-505-7200
Fax Number	:

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

Provider Enumeration Date	:	10/02/2014
Last Update Date	:	10/13/2023

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