DR. RAFAEL ANGEL DAVILA III


Address: 1024 Bridgeway Blvd, Orlando, FL 32828-6178
Phone: 4072825521

DR. RAFAEL ANGEL DAVILA III (NPI# 1184851370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184851370
Entity Type Individual
Full Name DR. RAFAEL ANGEL DAVILA III
Credential ED.D
Practice Address 1024 Bridgeway Blvd
Orlando
FL 32828-6178
Practice Telephone 4072825521
Mailing Telephone 4072825521
Enumeration Date 2009-06-16
Last Update Date 2009-06-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 43095 FL Behavioral Health & Social Service Providers
Y 101YS0200X Counselor
Specialization: School
744979 FL Behavioral Health & Social Service Providers

Office Location

Street Address 1024 BRIDGEWAY BLVD
City ORLANDO
State FL
Zip Code 32828-6178

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639307499 Krista Davila Specialist/Technologist 1024 Bridgeway Blvd, Orlando, FL 32828-6178 2009-06-30

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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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1851782403 Megan Mcbride Counselor 5725 Five Flags Blvd, Apt 2029, Orlando, FL 32822-2561 2015-02-17
1609338706 Rebecca Millan Counselor 6900 S Orange Blossom Trl, Orlando, FL 32809-5745 2019-04-05
1962657403 Stephanie Lynne Phillips Counselor 416a N Ferncreek Ave, Orlando, FL 32803-5432 2008-11-25

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NPI Name Taxonomy Address Enumeration
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Competitor

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City ORLANDO
Zip Code 32828

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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