Search › Florida › 224Z00000X
Daven Icao, COTA
NPI 1700258118 · on the registry since 2015
Practice
- Address
- 1061 Virginia St
Dunedin, FL 34698 - Phone
- (727) 733-4189
- Organisation at this address
- 1061 Virginia St Opco Llc
1061 Virginia Street Operations Llc
Spanish Gardens Health Care Associates LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida