Provider Demographics
NPI:1194587568
Name:DAVIS, YRLINE SERAPHIN
Entity type:Individual
Prefix:
First Name:YRLINE
Middle Name:SERAPHIN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YRLINE
Other - Middle Name:
Other - Last Name:SERAPHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1111 VERSANT DR APT 111
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-8858
Mailing Address - Country:US
Mailing Address - Phone:239-692-0867
Mailing Address - Fax:
Practice Address - Street 1:115 E DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3513
Practice Address - Country:US
Practice Address - Phone:813-254-8399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist