Individual
SOPHIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
959 22ND AVE S, ST PETERSBURG, FL 33705-2963
(727) 619-3057
Mailing address
959 22ND AVE S, ST PETERSBURG, FL 33705-2963
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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