Healthcare Provider Details

I. General information

NPI: 1891984795
Provider Name (Legal Business Name): SHEILA DAVIS MD, MSPH, PHD, JDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4507 FURLING LN STE 213
DESTIN FL
32541-5343
US

IV. Provider business mailing address

4507 FURLING LN STE 213
DESTIN FL
32541-5343
US

V. Phone/Fax

Practice location:
  • Phone: 850-281-8186
  • Fax: 850-360-8300
Mailing address:
  • Phone: 850-281-8186
  • Fax: 850-360-8300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberME100163
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberME100163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: