Individual
MR. JAMES E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16915 SCUBA CREST ST, WIMAUMA, FL 33598-2519
(901) 201-1963
Mailing address
PO BOX 1728, CLEARWATER, FL 33757-1728
(727) 532-0002
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013018900
—
FL
Enumeration date
07/20/2006
Last updated
07/26/2023
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