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Derrick
Derrick
Davis jr
Provisional speech-language path...
Orlando, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
Derrick Davis Jr
Job Title
Provisional Speech-Language Pathologist
Location
Orlando, FL, USA
LIC ID
12138
Current License Expiration Date
07/06/2025
Original Date
07/08/2023
Professional Rank Code
SZ
Effective Date
07/08/2023
Board Action Indicator
N
License Status Description
CLEAR
Country Description
ORANGE
Practice Location Address Line 1
1837 Hollenbeck Drive
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32806
Prescribing Indicator
N
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