Individual
MISS LISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
708 DRUID RD E, CLEARWATER, FL 33756-3914
(727) 446-1097
(833) 941-2542
Mailing address
708 DRUID RD E, CLEARWATER, FL 33756-3914
(727) 446-1097
(833) 941-2542
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
01100027863
VA
363AM0700X
Medical Physician Assistant
Primary
PA9118515
FL
Other
Enumeration date
02/01/2011
Last updated
07/17/2025
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