Individual
SHANTA KATICE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6740 CROSSWINDS DR N STE C, SAINT PETERSBURG, FL 33710-5472
(727) 954-0010
Mailing address
1050 17TH ST S, ST PETERSBURG, FL 33712-2418
(727) 741-8475
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11008236
FL
Other
Enumeration date
07/23/2020
Last updated
02/25/2025
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