Provider Demographics
NPI:1730580465
Name:DAVIS-CADEAU, BERBET MONICA (ADMINISTRATOR)
Entity type:Individual
Prefix:MRS
First Name:BERBET
Middle Name:MONICA
Last Name:DAVIS-CADEAU
Suffix:
Gender:F
Credentials:ADMINISTRATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 VISTA PKWY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2706
Mailing Address - Country:US
Mailing Address - Phone:561-228-6125
Mailing Address - Fax:561-228-6126
Practice Address - Street 1:2101 VISTA PKWY
Practice Address - Street 2:SUITE 112
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2706
Practice Address - Country:US
Practice Address - Phone:561-228-6125
Practice Address - Fax:561-228-6126
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211738374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide