Individual
MS. STEPHANIE ROZELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
703 CANDYCE AVE, LAKELAND, FL 33815-1203
(863) 860-8555
Mailing address
PO BOX 93556, LAKELAND, FL 33804-3556
(863) 860-8555
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN3064912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311039700
—
FL
Enumeration date
02/15/2006
Last updated
01/14/2009
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