Individual
TAMIKA NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8673 15TH WAY N, ST PETERSBURG, FL 33702-2815
(727) 423-0060
Mailing address
5200 47TH AVE N, ST PETERSBURG, FL 33709-3820
(727) 953-5287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9401106
FL
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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