MEDICARE: DIANE 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
1	235Z00000X	Speech-Language Pathologist	SA5926	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10647201	OTHER	FL	CITRUS NPR GROUP
2	282700	OTHER	FL	AVMED
3	S1760	OTHER	FL	BCBS
4	10647202	OTHER	FL	CITRUS SH GROUP
5	704024	OTHER	FL	ACN GROUP
6	215753	OTHER	FL	AMERIGROUP
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073654547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIANE DAVIS PA

Provider Business Mailing Address
First Line	:	8050 OLD CR 54
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6457
Country	:	US
Telephone Number	:	727-375-0600
Fax Number	:	727-375-1117

Provider Business Practice Location Address
First Line	:	8050 OLD CR 54
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-6457
Country	:	US
Telephone Number	:	727-375-0600
Fax Number	:	727-375-1117

Authorized Official
Title or Position	:	OWNER
Name	:	DIANE DAVIS
Credential	:	MS CCC SLP
Telephone Number	:	727-375-0600

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	04/29/2009

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1790783488 — DR. CARA LYNN HACHT DC
Practice Location Address:

8052 OLD COUNTY ROAD 54
NEW PORT RICHEY, FL
34653-6457

Practice Phone: 727-375-5858
Practice Fax: 727-225-5552

1952441149 — DIANE DAVIS MS CCC SLP
Practice Location Address:

8050 OLD CR 54
NEW PORT RICHEY, FL
34653-6457

Practice Phone: 727-375-0600
Practice Fax: 727-375-1117

1508038266 — CARA L HACHT DC P A
Practice Location Address:

8052 OLD COUNTY ROAD 54
NEW PORT RICHEY, FL
34653-6457

Practice Phone: 727-375-5858
Practice Fax: 727-255-5552

1881845840 — DR. MELISSA MARIE ELLIS-WINSLETT D.C.
Practice Location Address:

8052 OLD COUNTY ROAD 54
NEW PORT RICHEY, FL
34653-6457

Practice Phone: 727-505-2001
Practice Fax:

1134443278 — LINDA VELEZ LMHC
Practice Location Address:

8042 OLD COUNTY ROAD 54
NEW PORT RICHEY, FL
34653-6457

Practice Phone: 727-753-9084
Practice Fax: 727-202-9033

Directions to “DIANE 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 © 2007-2025 (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.