NPI 1174261804

Matthew James Davis

Practitioner Peer Specialist Gainesville, FL

Practice location

Address: 4300 SW 13th St, Gainesville, FL 32608-4006
Phone: (352) 374-5600

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1174261804
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2022
Record last updated: 23 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.