MEDICARE: MELODY MCKNIGHT-DAVIS

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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1184422339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY MCKNIGHT-DAVIS

Provider Business Mailing Address
First Line	:	4723 LANGDALE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-2081
Country	:	US
Telephone Number	:	407-580-5078
Fax Number	:

Provider Business Practice Location Address
First Line	:	4723 LANGDALE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-2081
Country	:	US
Telephone Number	:	407-580-5078
Fax Number	:

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

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	03/04/2025

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Directions to “ MELODY MCKNIGHT-DAVIS ” Practice Location

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