Healthcare Provider Details

I. General information

NPI: 1144477761
Provider Name (Legal Business Name): JOANIE BETH DAVIS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. JOANIE BETH CHAMBERS

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 10/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4075 MARINER BLVD
SPRING HILL FL
34609-2467
US

IV. Provider business mailing address

4075 MARINER BLVD
SPRING HILL FL
34609-2467
US

V. Phone/Fax

Practice location:
  • Phone: 352-666-8910
  • Fax: 352-683-6889
Mailing address:
  • Phone: 352-666-8910
  • Fax: 352-683-6889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY1502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: