Male or Other

Michael S. Davis APRN

Nurse Practitioner in Tampa, FL(View on Map)

Full Name

Michael Shane Davis APRN

NPI Number

1235172917

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/13/2006

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ARNP2243822

Contact
Information

Purpose

Mailing
Location

Address

5130 SUNFOREST DR STE 300
5130 SUNFOREST DR STE 300

City

Tampa
Tampa

State

FL
FL

Postal Code

33634-6327
33634-6327

Country

US
US

Telephone Number

(727) 824-0780
(727) 824-0780

Identifiers

Identifier

001486300

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/22/2021

Provider Address

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