Provider Demographics
NPI:1851329361
Name:DAVIS, SYLVIA (ARNP)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 N ANDREWS SQ
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33311-4887
Mailing Address - Country:US
Mailing Address - Phone:954-696-7043
Mailing Address - Fax:
Practice Address - Street 1:1485 GATEWAY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8313
Practice Address - Country:US
Practice Address - Phone:561-231-6999
Practice Address - Fax:561-231-6996
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3343642363LA2200X
FLAPRN3343642363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115547200Medicaid
FLPV483OtherMEDICARE