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1235172917
MICHAEL SHANE DAVIS
TAMPA, FL
NPI
1235172917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP2243822)
Enumeration Date
2006-06-13
Last Update Date
2021-11-22
Business Address
MICHAEL SHANE DAVIS APRN
5130 SUNFOREST DR STE 300
TAMPA, FL 33634-6327
Phone number: 727-824-0780
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Mailing Address
MICHAEL SHANE DAVIS APRN
5130 SUNFOREST DR STE 300
TAMPA, FL 33634-6327
Phone number: 727-824-0780
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