NPI 1851091151
Moriole C Davis
Practice location
- Address
- 619 S Marion Ave, Lake City, FL 32025-5808
- Phone
- (386) 423-0477
- Mailing address
- 137 SW Fulton Pl, Lake City, FL 32024-3779
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1851091151
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Mar 2023
- Record last updated
- 6 Mar 2023
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.