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1285771808
DERRICK ANTHONY DAVIS
PEMBROKE PINES, FL
NPI
1285771808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL 9103680)
Enumeration Date
2007-01-31
Last Update Date
2013-08-14
Business Address
Mr. DERRICK ANTHONY DAVIS MPH, PA-C
320 S FLAMINGO RD # 112
PEMBROKE PINES, FL 33027-1770
Phone number: 954-558-6324
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Mailing Address
Mr. DERRICK ANTHONY DAVIS MPH, PA-C
320 S FLAMINGO RD # 112
PEMBROKE PINES, FL 33027-1770
Phone number: 954-558-6324
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