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Teresa Davis, HS

Military Health Care Provider in Clearwater, FL. Individual provider (NPI-1).

NPI number1265572986
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1265572986
Entity type
Individual (NPI-1)
Name
Teresa Davis
Credential
HS
Sex
Female
Sole proprietor
No
Enumeration date
Feb 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171000000X Military Health Care Provider–CAYes

Practice location

15100 Rescue Way
Clearwater, FL 33762

Phone 727-535-1437 · Fax 727-535-4190

Mailing address

15100 Rescue Way
Clearwater, FL 33762

Phone 727-535-1437 · Fax 727-535-4190

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