SearchFlorida172V00000X

Danyetta Tavares, OWNER

NPI 1942681275 · on the registry since 2015

Practice

Address
1607 Piccadilly Dr
Daytona Beach, FL 32117
Phone
(407) 242-0210

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida