Davis, Russell Emmett
Davis, Russell Emmett is an individual health care provider with primary practice located at 1341 Medical Park Dr , Melbourne FL 32901-3235. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Davis, Russell Emmett can be contacted via phone (321) 728-7418.Contact Information
Primary practice address
1341 Medical Park Dr
Melbourne FL 32901-3235
Phone: (321) 728-7418
Fax: (321) 728-7403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT7148 | Florida |
Profile Details
| NPI number | 1265492938 |
|---|---|
| LBN Legal business name | Davis, Russell Emmett |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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