DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TYRA ALYSSA DAVIS PA

MEDICARE: TYRA ALYSSA DAVIS PA
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
1363A00000XPhysician AssistantPAT9117863FL

General Provider Information

NPI Number : 1629758727
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYRA ALYSSA DAVIS PA
Provider Business Mailing Address
First Line : 1361 13TH AVE S
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3233
Country : US
Telephone Number : 904-249-2580
Fax Number :
Provider Business Practice Location Address
First Line : 6675 CORPORATE CENTER PKWY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-8079
Country : US
Telephone Number : 904-424-5891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2023
Last Update Date : 09/15/2023

Similar Medicare Providers

1114408416 — MISS CHAKARI KANESE MONSANTO COTA
Practice Location Address:
6675 CORPORATE CENTER PKWY
JACKSONVILLE, FL
32216-8079
Practice Phone: 904-245-8910
Practice Fax:
1942142021 — JOSHUA PASKERT
Practice Location Address:
6675 CORPORATE CENTER PKWY
JACKSONVILLE, FL
32216-8079
Practice Phone: 904-245-8910
Practice Fax:
1164268355 — NOLAN DYKO
Practice Location Address:
6675 CORPORATE CENTER PKWY
JACKSONVILLE, FL
32216-8079
Practice Phone: 904-245-8910
Practice Fax:
1437948437 — DEVIN WELLS
Practice Location Address:
6675 CORPORATE CENTER PKWY
JACKSONVILLE, FL
32216-8079
Practice Phone: 904-245-8990
Practice Fax:
1013876812 — DOMINIC ZHENG PA-C
Practice Location Address:
6675 CORPORATE CENTER PKWY
JACKSONVILLE, FL
32216-8079
Practice Phone: 904-245-8910
Practice Fax:
1124967922 — AMBER LYNN HOSKINS
Practice Location Address:
6675 CORPORATE CENTER PKWY
JACKSONVILLE, FL
32216-8079
Practice Phone: 904-245-8910
Practice Fax:

Directions to “ TYRA ALYSSA DAVIS PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.