| Nicole Davis White, Pa | |
|
2750 Ne 185th St Suite 304 Aventura FL 33180-2876 | |
| (305) 933-5733 | |
| (305) 933-5233 |
| Full Name | Nicole Davis White, Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2750 Ne 185th St, Aventura, Florida |
| Authorized Official Name and Position | Nicole Renee Davis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3059335733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Davis White, Pa 2750 Ne 185th St Suite 304 Aventura FL 33180-2876 Ph: (305) 933-5733 | Nicole Davis White, Pa 2750 Ne 185th St Suite 304 Aventura FL 33180-2876 Ph: (305) 933-5733 |
| NPI Number | 1114163755 |
|---|---|
| Provider Enumeration Date | 01/04/2009 |
| Last Update Date | 01/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114163755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7520 (Florida) | Primary |
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