Organization
YOUR BEST YOU, P.A.
Active
Organization
YOUR BEST YOU, P.A.
Active
Other names
Personalized Primary & Diabetes Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHANI VANN DAVIS PHD, ANP-BC, CDE (OWNER, NURSE PRACTITIONER)
(813) 936-2609
Entity
Organization
Contact information
Practice address
15511 N FLORIDA AVE, SUITE 502, TAMPA, FL 33613-1263
(813) 936-2609
(813) 252-4452
Mailing address
15511 N FLORIDA AVE, SUITE 502, TAMPA, FL 33613-1263
(813) 936-2609
(813) 252-4452
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245693530
NPI FOR YOUR BEST YOU, P.A.
—
01
—
2086 W. BUSCH BLVD.
REMOVE THIS ADDRESS
—
01
—
636246
MEDICAID ATN GROUP
FL
01
—
636270
MEDICAID ATN INDIV
FL
01
—
IQ397A
MEDICARE PTAN
FL
01
—
IQ399Z
MEDICARE PTAN (INDIV.)
FL
Enumeration date
11/15/2016
Last updated
11/15/2016
Update your record
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