MEDICARE: APRIL DAVIS PHLEBOTOMIST

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	246RP1900X	Phlebotomy Technician	NPCN-16828-4376	FL

General Provider Information

NPI Number	:	1629751037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL DAVIS PHLEBOTOMIST

Provider Business Mailing Address
First Line	:	3111 SW 17TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-4976
Country	:	US
Telephone Number	:	941-500-9359
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 SW 17TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-4976
Country	:	US
Telephone Number	:	941-500-9359
Fax Number	:

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

Provider Enumeration Date	:	08/11/2023
Last Update Date	:	08/11/2023

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Directions to “ APRIL DAVIS PHLEBOTOMIST” Practice Location

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