Individual
JUSTIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
603 7TH ST S STE 500, ST PETERSBURG, FL 33701-4734
(727) 893-6254
(727) 553-7158
Mailing address
603 7TH ST S STE 500, ST PETERSBURG, FL 33701-4734
(727) 893-6254
(727) 553-7158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN930437
FL
363LF0000X
Family Nurse Practitioner
9304237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118693600
—
FL
Enumeration date
09/06/2018
Last updated
02/13/2024
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