Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DAVID E DAXON

Active Sole Proprietor

Intellectual Disabilities Residential Treatment Facility · ST PETERSBURG, FL

Registration Details

NPI Number: 1235883547
Provider Type: Individual
Gender: Male
NPI Issued: Feb 6, 2022 (4.204802533238 yrs)
Last Updated: Feb 6, 2022
Sole Proprietor: Yes

Practice Information

Address: 1768 30TH ST S

ST PETERSBURG, FL, 337122536
Browse FL providers · Browse ZIP 33712
Phone: 7273079190
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X
Additional Specialty: Case Manager
Additional Specialty: 3104A0630X
Additional Specialty: Intellectual Disabilities Residential Treatment Facility

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.