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General NPI Number Information
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NPI Number | 1588800957
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Entity Type | Individual
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Provider Name | CAROL FRANCES DAVIS ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 4641 S CLYDE MORRIS BLVD SUITE 201
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City | PORT ORANGE
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State | FL
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Zip | 32129-6003
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Country | US
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Telephone | 386-322-6340
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Fax | 386-322-6212
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Provider Business Mailing Address
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Address Line | 4641 S CLYDE MORRIS BLVD SUITE 201
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City | PORT ORANGE
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State | FL
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Zip | 32129-6003
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Country | US
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Telephone | 386-322-6340
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Fax | 386-322-6212
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP2180162
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License Number State | FL
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