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NPI Code Detail

MEDICARE: MISS VANESSA DAVIS ARNP

MEDICARE: MISS VANESSA DAVIS ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9294146FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699296467
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS VANESSA DAVIS ARNP
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number : 321-332-6947
Fax Number : 407-286-4515
Provider Business Practice Location Address
First Line : 605 COURTLAND BLVD
Second Line :
City : DELTONA
State : FL
Zip : 32738-8913
Country : US
Telephone Number : 386-320-9990
Fax Number : 833-450-5408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2017
Last Update Date : 07/28/2025

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