| Derrick Raynard Davis Jr, MS SLP | |
|
5165 Adanson St, Orlando, FL 32804-1331 | |
| (352) 394-0212 | |
| Not Available |
| Full Name | Derrick Raynard Davis Jr |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 5165 Adanson St, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679341804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SZ11426 (Florida) | Primary |
| Provider Name | Central Florida Dreamplex Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215017512 PECOS PAC ID: 0840520193 Enrollment ID: O20190930001057 |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Raynard Davis Jr, MS SLP Po Box 120547, Clermont, FL 34712-0547 Ph: () - | Derrick Raynard Davis Jr, MS SLP 5165 Adanson St, Orlando, FL 32804-1331 Ph: (352) 394-0212 |
Ms. Yentel C. Moses, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5210 Vatican Ave, Orlando, FL 32810 Phone: 954-494-5468 Fax: 954-989-7981 | |
Michelle Bartlett, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11602 Lake Underhill Rd Ste 129, Orlando, FL 32825 Phone: 239-298-6397 | |
Sonya Persaud, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7950 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-601-6888 | |
Keissy Lorini, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12377 S Orange Blossom Trl, Orlando, FL 32837 Phone: 407-857-1212 | |
Regan Brackin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1239 Mount Vernon St, Orlando, FL 32803 Phone: 407-810-2773 Fax: 407-867-6203 | |
Mrs. Rebecca L Burt, MA, CCC/SLP, NBCT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Derby Glen Dr, Orlando, FL 32837 Phone: 407-641-0808 Fax: 407-812-4358 | |
Dr. Charlotte M Harvey, EDD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12424 Research Pkwy, Suite 155, Orlando, FL 32826 Phone: 407-882-0468 Fax: 407-249-4774 |