Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moriole C Davis I

Individual provider Recreation Therapist · NPI 1851091151

Moriole C Davis I is a Recreation Therapist in Lake City, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 423-0477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1851091151
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing address137 Sw Fulton Pl, Lake City, FL 32024-3779

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