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NPI Code Detail

MEDICARE: DAVISON HEALTH SOLUTIONS LLC

MEDICARE: DAVISON HEALTH SOLUTIONS LLC
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
1251K00000XPublic Health or Welfare AgencyME 114790FL
2251S00000XCommunity/Behavioral Health AgencyME 114790FL
3251E00000XHome Health AgencyME 114790FL

General Provider Information

NPI Number : 1902143621
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVISON HEALTH SOLUTIONS LLC
Provider Business Mailing Address
First Line : 7532 CLEARVIEW DR
Second Line :
City : TAMPA
State : FL
Zip : 33634-2930
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7532 CLEARVIEW DR
Second Line :
City : TAMPA
State : FL
Zip : 33634-2930
Country : US
Telephone Number : 813-789-1735
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JAMILA DAVISON
Credential :
Telephone Number : 813-789-1735
Provider Enumeration Date : 01/15/2013
Last Update Date : 01/22/2013

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Directions to “DAVISON HEALTH SOLUTIONS LLC ” Practice Location

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