Debra V Davis, | |
508 Flotilla Rd, North Palm Beach, FL 33408-4827 | |
(561) 596-4455 | |
Not Available |
Full Name | Debra V Davis |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 508 Flotilla Rd, North Palm Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013787704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW22221 (Florida) | Primary |
Entity Name | Southern Oregon Wellness Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538446315 PECOS PAC ID: 5395903124 Enrollment ID: O20120223000945 |
Mailing Address | Practice Location Address |
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Debra V Davis, 508 Flotilla Rd, North Palm Beach, FL 33408-4827 Ph: (561) 596-4455 | Debra V Davis, 508 Flotilla Rd, North Palm Beach, FL 33408-4827 Ph: (561) 596-4455 |
Barbara Brockmeier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 741 Us 1, North Palm Beach, FL 33408 Phone: 833-352-6791 | |
Carol L Moore, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11911 Us Highway 1, Suite 201, North Palm Beach, FL 33408 Phone: 561-775-7020 | |
Ms. Christine Conover-defresco, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1208 Marine Way Apt A908, North Palm Beach, FL 33408 Phone: 917-674-9891 | |
Mr. Justin Harrison Mcmanus, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1201 Us 1, Suite 225, North Palm Beach, FL 33408 Phone: 561-459-0621 Fax: 561-290-1803 | |
Sharon Wallace Rinearson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11911 U.s. Hwy 1, Suite 201-24, North Palm Beach, FL 33408 Phone: 561-301-7531 Fax: 800-861-5113 | |
Kimberly Litton, LCSW, CAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 Us Highway 1, 205, North Palm Beach, FL 33408 Phone: 561-319-1699 |