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1295344562
SHANTA KATICE DAVIS
TAMPA, FL
NPI
1295344562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL 11008236)
Enumeration Date
2020-07-23
Last Update Date
2024-03-28
Business Address
SHANTA KATICE DAVIS APRN
625 E TWIGGS ST STE 103
TAMPA, FL 33602-3925
Phone number: 813-228-7696
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Mailing Address
SHANTA KATICE DAVIS APRN
625 E TWIGGS ST STE 103
TAMPA, FL 33602-3925
Phone number: 813-228-7696
Copy
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