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Janina M Davis

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

10960 Dylan Loren Cir, Orlando, FL 32825-4439

PECOS Enrollment

This provider is enrolled in PECOS as JANINA DAVIS.

Based on the most recent information from CMS, provider Janina M Davis is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:13 AM.

Profile Details

Provider ID
1396998340
Provider Type
Individual
Full Name
Davis, Janina M
Title
Ms.
Credential
ARNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/3/2008
Last Updated
10/23/2014

Contact Information

Practice Location

10960 Dylan Loren Cir, Orlando, FL 32825-4439

(407) 420-7952

(407) 420-7953

Mailing Location

PO Box 691326, Orlando, FL 32869-1326

(407) 420-7952

(407) 420-7953

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP 1143902 Florida

Provider Identifiers

ID	Description	Issuer
ID 307210001	Description Medicaid	Issuer Unlisted Florida
ID Y0A6V	Description Other	Issuer BCBS Florida

Janina M Davis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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