MEDICARE: MS. NANCEE SUE DAVIS-SHARKEY P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT20134	FL

General Provider Information

NPI Number	:	1548481500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCEE SUE DAVIS-SHARKEY P.T.

Provider Business Mailing Address
First Line	:	6131 ASTORIA DRIVE
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463
Country	:	US
Telephone Number	:	561-968-1488
Fax Number	:	561-968-1378

Provider Business Practice Location Address
First Line	:	6131 ASTORIA DRIVE
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463
Country	:	US
Telephone Number	:	561-968-1488
Fax Number	:	561-968-1378

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

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