MR. DERRICK ANTHONY DAVIS (NPI# 1285771808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285771808 |
| Entity Type | Individual |
| Full Name | MR. DERRICK ANTHONY DAVIS |
| Credential | MPH, PA-C |
| Practice Address |
320 S Flamingo Rd # 112 Pembroke Pines FL 33027-1770 |
| Practice Telephone | 9545586324 |
| Mailing Telephone | 9545586324 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9103680 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245612621 | Derrick Davis Sr. | Nurse Practitioner | 18286 Boxelder Dr, Brownstown, MI 48174-9261 | 2015-06-23 |
| 1801203609 | Derrick Davis | Specialist/Technologist | 1063 Duckwood Dr Apt 205, Eagan, MN 55123-1206 | 2014-07-14 |
| 1265620611 | Derrick Lavel Davis Sr. | Counselor | 4601 Park Rd Ste 400, Charlotte, NC 28209-2284 | 2007-10-11 |
| 1245739986 | Derrick Davis | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-02-08 |
| Street Address |
320 S FLAMINGO RD # 112 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33027-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144658626 | Circulatory Care & Diagnostics | Clinic/Center | 320 S Flamingo Rd, #102, Pembroke Pines, FL 33027-1770 | 2013-10-21 |
| 1295069409 | Broward Primary Care LLC | Internal Medicine | 320 S Flamingo Rd, Suite 358, Pembroke Pines, FL 33027-1770 | 2009-09-22 |
| 1104008507 | Md-stat LLC | Hospitalist | 320 S Flamingo Rd, #358, Pembroke Pines, FL 33027-1770 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154953826 | Anne Marie Salsbury Company | Physician Assistant | 601 Nw 179th Ave Ste 102, Pembroke Pines, FL 33029-2819 | 2020-02-10 |
| 1598271322 | Kaitlyn Rowan | Physician Assistant | 2210 Nw 167th Ave Apt 9-206, Pembroke Pines, FL 33028-1877 | 2017-12-15 |
| 1518404482 | Oscar Miranda | Physician Assistant | 18456 Nw 24 Street, Pembroke Pines, FL 33029 | 2017-01-30 |
| 1760721617 | Katherine V Marshall | Physician Assistant | 680 North University Dr, Pembroke Pines, FL 33024 | 2013-02-12 |
| 1629386396 | Luis D'montique Soriano | Physician Assistant | 1220 Bel Aire Dr W, Pembroke Pines, FL 33027-2220 | 2010-09-15 |
| 1972721256 | Gustavo A Aguilar | Physician Assistant | Boulevard Professional Centre 10796 Pines Blvd Ste 103, Pembroke Pines, FL 33026 | 2007-04-23 |
| 1063473502 | Cynthia L Stimeck | Physician Assistant | 20021 Nw 3rd St, Pembroke Pines, FL 33029-3312 | 2006-03-31 |
| 1124096946 | Robert J Bertot | Physician Assistant | 703 N Flamingo Road, Pembroke Pines, FL 33028 | 2006-03-08 |
| 1851921738 | Katherin Rodriguez | Physician Assistant | 501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 | 2020-01-20 |
| 1750832366 | Kaylin Michelle Dighton | Physician Assistant | 10794 Pines Blvd Ste 102, Pembroke Pines, FL 33026-3920 | 2016-10-18 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
Please comment or provide details below to improve the information on MR. DERRICK ANTHONY DAVIS.
| 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.