Individual
BETHANY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(813) 699-3995
(813) 315-1625
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
20623
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11002802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103751600
—
FL
Enumeration date
01/11/2017
Last updated
05/19/2025
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