Individual
MRS. JENNIFER ARENAS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-6666
Mailing address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-6666
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA2201
KY
363AS0400X
Surgical Physician Assistant
Primary
PA9102922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018787000
—
FL
Enumeration date
05/12/2006
Last updated
08/04/2023
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