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NPI Code Detail

MEDICARE: TOI DAVIS-WASHINGTON APRN

MEDICARE:   TOI  DAVIS-WASHINGTON  APRN
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 PractitionerAPRN11004032FL

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 : 1124677414
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOI DAVIS-WASHINGTON APRN
Provider Business Mailing Address
First Line : 47 5TH ST NW
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4672
Country : US
Telephone Number : 866-234-8534
Fax Number :
Provider Business Practice Location Address
First Line : 903 LOWRY AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33801-7544
Country : US
Telephone Number : 866-234-8534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2019
Last Update Date : 09/29/2025

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Directions to “ TOI DAVIS-WASHINGTON APRN” Practice Location

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