Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 VINE CLIFF ST, RUSKIN, FL 33570-4933
(727) 301-5233
Mailing address
423 VINE CLIFF ST, RUSKIN, FL 33570-4933
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831429515
—
FL
Enumeration date
07/27/2023
Last updated
11/19/2025
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