Organization Active NPI

Davisse Micro Art

  • Other Specialist/Technologist
  • Melbourne, FL
National Provider Identifier
1215701800
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
DAVISSE MICRO ART
Practice address
109 Silver Palm Ave Ste 108
Melbourne, FL 32901-3125
Phone
(321) 537-2331
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Williams
Title
Owner
Phone
(407) 982-4876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

109 Silver Palm Ave Ste 108
Melbourne, FL 32901-3125

Mailing address

109 Silver Palm Ave Ste 108
Melbourne, FL 32901-3125

National Provider Directory

National Provider Directory

Locations

1526 S Wickham Rd
Ste B
Melbourne, FL 32904

109 Silver Palm Ave
Ste 108
Melbourne, FL 32901
Phone (321) 537-2331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1215701800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SILVER PALM AVE STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SILVER PALM AVE STE 108",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013125",
            "telephone_number": "321-537-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISSE MICRO ART",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-982-4876"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.