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NPI Code Detail

MEDICARE: SHEERA TZIPPORA DAVIS

MEDICARE:   SHEERA TZIPPORA 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
11041C0700XClinical Social WorkerSW14976FL

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 : 1780198333
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEERA TZIPPORA DAVIS
Provider Business Mailing Address
First Line : 3900 N HILLS DR APT 414
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-2540
Country : US
Telephone Number : 347-848-4210
Fax Number :
Provider Business Practice Location Address
First Line : 901 S 62ND AVE
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-1848
Country : US
Telephone Number : 561-790-1191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2017
Last Update Date : 09/12/2019

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Directions to “ SHEERA TZIPPORA DAVIS ” Practice Location

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