Individual
JASON MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13220 USF LAUREL DRIVE, TAMPA, FL 33612
(813) 974-8390
(813) 974-0483
Mailing address
12901 BRUCE B DOWNS BLVD # 62, TAMPA, FL 33612-4742
(813) 974-8390
(814) 974-0483
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23840
FL
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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