Davis, Roger F

Davis, Roger F is an individual health care provider with primary practice located at 155 E Interlake Blvd , Lake Placid FL 33852-9578. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Roger F can be contacted via phone (863) 699-0111.

Contact Information

Primary practice address
155 E Interlake Blvd Lake Placid FL 33852-9578
Phone: (863) 699-0111
Fax: (863) 699-1046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0007552 Florida

Profile Details

NPI number 1326012808
LBN Legal business name Davis, Roger F
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326012808 NPPES
Florida MEDICAID 280013600

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