Individual
BREEANNA BACCHUS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 BARTON BLVD UNIT C-14, ROCKLEDGE, FL 32955-2742
(321) 241-6800
(321) 241-6890
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111974100
—
FL
01
—
PA9114561
FL MEDICAL LICENSE
FL
Enumeration date
06/21/2021
Last updated
08/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us