Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID E DAXON
Active Sole ProprietorMR. DAVID E DAXON is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in ST PETERSBURG, Florida. NPI 1235883547 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · ST PETERSBURG, FL
Registration Details
- NPI Number
- 1235883547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2022 (4.5065908695483 yrs)
- Last Updated
- Feb 6, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1768 30TH ST SST PETERSBURG, FL, 337122536Browse 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.