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1972066264
TY AUSTIN DAVIS
MIAMI, FL
NPI
1972066264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: FL OS17192)
Enumeration Date
2019-04-12
Last Update Date
2020-12-17
Business Address
TY AUSTIN DAVIS DO
12385 SW 125TH CT
MIAMI, FL 33186-5488
Phone number: 435-650-8079
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Mailing Address
TY AUSTIN DAVIS DO
12385 SW 125TH CT
MIAMI, FL 33186-5488
Phone number: 435-650-8079
Copy
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