Individual
BRANDON A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9232981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001497900
—
FL
01
—
G000V
BCBS OF FL
FL
Enumeration date
07/01/2009
Last updated
01/11/2022
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