Provider Demographics
NPI:1235232141
Name:DAVIS, FLORENZIA WATSON (PHD, MS, RD, LD/N)
Entity Type:Individual
Prefix:DR
First Name:FLORENZIA
Middle Name:WATSON
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PHD, MS, RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2772 RAVELLA WAY
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2968
Mailing Address - Country:US
Mailing Address - Phone:561-282-6689
Mailing Address - Fax:561-282-6689
Practice Address - Street 1:1665 PALM BEACH LAKES BLVD, SUITE 900
Practice Address - Street 2:PALM BEACH COUNTY HEALTH DEPARTMENT - FORUM III
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401
Practice Address - Country:US
Practice Address - Phone:561-681-2524
Practice Address - Fax:561-681-2501
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4469133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered