Healthcare Provider Details

I. General information

NPI: 1962321877
Provider Name (Legal Business Name): MEGAN ARISA DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 SARATOGA BLVD E
WEST PALM BEACH FL
33411-8282
US

IV. Provider business mailing address

207 SARATOGA BLVD E
WEST PALM BEACH FL
33411-8282
US

V. Phone/Fax

Practice location:
  • Phone: 813-313-9449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049134
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: