Individual
GWYNETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2919 W SWANN AVE STE 404, TAMPA, FL 33609-4052
(813) 773-0579
Mailing address
2919 W SWANN AVE STE 404, TAMPA, FL 33609-4052
(813) 773-0579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119232
FL
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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