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NPI Code Detail

MEDICARE: TOMICA DAVIS

MEDICARE: TOMICA 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
1175T00000XPeer SpecialistAPS.005387OH

General Provider Information

NPI Number : 1669315719
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMICA DAVIS
Provider Business Mailing Address
First Line : 2121 W 117TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-1642
Country : US
Telephone Number : 216-417-4831
Fax Number : 216-417-0040
Provider Business Practice Location Address
First Line : 2121 W 117TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-1642
Country : US
Telephone Number : 216-417-4831
Fax Number : 216-417-0040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ TOMICA DAVIS ” Practice Location

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