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NPI Code Detail

MEDICARE: CANDICE DANIELLE DAVIDS

MEDICARE: CANDICE DANIELLE DAVIDS
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
11041C0700XClinical Social WorkerSW19907FL
2101YM0800XMental Health CounselorFL

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 : 1487385878
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE DANIELLE DAVIDS
Provider Business Mailing Address
First Line : 1608 SE 3RD AVE FL 3
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-2564
Country : US
Telephone Number : 954-467-0880
Fax Number : 954-535-2030
Provider Business Practice Location Address
First Line : 1101 NW 1ST ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-8905
Country : US
Telephone Number : 954-467-0880
Fax Number : 954-535-2030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2022
Last Update Date : 03/23/2026

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Directions to “ CANDICE DANIELLE DAVIDS ” Practice Location

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