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

Mr. Nicholas Davis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639978703

Mr. Nicholas Davis is a Student in an Organized Health Care Education/Training Program in Lakeland, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2692 Gale Rose Dr
Lakeland, FL 33805-8545
Phone: (863) 701-4326
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639978703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address2692 Gale Rose Dr, Lakeland, FL 33805

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