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NPI Code Detail

MEDICARE: DAVON A TOBAS FNP

MEDICARE: DAVON A TOBAS FNP
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
1363LF0000XFamily Nurse Practitioner9421653FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528302726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVON A TOBAS FNP
Provider Business Mailing Address
First Line : 2060 NW 86TH AVE
Second Line :
City : SUNRISE
State : FL
Zip : 33322-3818
Country : US
Telephone Number : 850-624-9760
Fax Number :
Provider Business Practice Location Address
First Line : 1501 S FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-7512
Country : US
Telephone Number : 954-788-0739
Fax Number : 954-788-7347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2012
Last Update Date : 01/20/2016

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Directions to “ DAVON A TOBAS FNP” Practice Location

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