DERRICK RAYNARD DAVIS

ORLANDO, FL
NPI1679341804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: FL  SZ11426)
Enumeration Date2023-12-18
Last Update Date2023-12-18
Business Address
DERRICK RAYNARD DAVIS M.S. SLP
5165 ADANSON ST
ORLANDO, FL 32804-1331
Phone number: 352-394-0212
Mailing Address
DERRICK RAYNARD DAVIS M.S. SLP
PO BOX 120547
CLERMONT, FL 34712-0547
Phone number: