SHANTA KATICE DAVIS

TAMPA, FL
NPI1295344562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  11008236)
Enumeration Date2020-07-23
Last Update Date2024-03-28
Business Address
SHANTA KATICE DAVIS APRN
625 E TWIGGS ST STE 103
TAMPA, FL 33602-3925
Phone number: 813-228-7696
Mailing Address
SHANTA KATICE DAVIS APRN
625 E TWIGGS ST STE 103
TAMPA, FL 33602-3925
Phone number: 813-228-7696