Individual
MR. COLIN M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4107 W SPRUCE ST STE 100, TAMPA, FL 33607-2346
(813) 636-8811
(813) 636-8855
Mailing address
4107 W SPRUCE ST STE 100, TAMPA, FL 33607-2346
(813) 636-8811
(813) 636-8855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW 11626
FL
1041C0700X
Clinical Social Worker
Primary
SW 11626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010538500
—
FL
05
—
124149700
—
FL
05
—
130548200
—
FL
Enumeration date
07/17/2013
Last updated
03/23/2026
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