Individual
ANGELA MICHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1589 SE BELCREST ST, PORT SAINT LUCIE, FL 34952-7833
(772) 370-1655
Mailing address
1589 SE BELCREST ST, PORT SAINT LUCIE, FL 34952-7833
(772) 370-1655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11015742
FL
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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