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1275380461
KING ROSEVELT DAVIS
JACKSONVILLE, FL
NPI
1275380461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11032636)
Enumeration Date
2024-05-04
Last Update Date
2024-05-04
Business Address
KING ROSEVELT DAVIS APRN
11106 BUGATTI CT
JACKSONVILLE, FL 32246-8481
Phone number: 904-251-5333
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Mailing Address
KING ROSEVELT DAVIS APRN
11106 BUGATTI CT
JACKSONVILLE, FL 32246-8481
Phone number: 904-251-5333
Copy
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