| Diane Davis Pa | |
|
8050 Old Cr 54, New Port Richey, FL 34653-6457 | |
| (727) 375-0600 | |
| (727) 375-1117 |
| Full Name | Diane Davis Pa |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 8050 Old Cr 54, New Port Richey, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073654547 | NPI | - | NPPES |
| 10647201 | Other | FL | CITRUS NPR GROUP |
| 282700 | Other | FL | AVMED |
| S1760 | Other | FL | BCBS |
| 10647202 | Other | FL | CITRUS SH GROUP |
| 704024 | Other | FL | ACN GROUP |
| 215753 | Other | FL | AMERIGROUP |
| 885702400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SA5926 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Davis Pa 8050 Old Cr 54, New Port Richey, FL 34653-6457 Ph: (727) 375-0600 | Diane Davis Pa 8050 Old Cr 54, New Port Richey, FL 34653-6457 Ph: (727) 375-0600 |
Miss Marissa Elena Gai, M.S. CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4443 Rowan Rd, New Port Richey, FL 34653 Phone: 727-846-9900 | |
Lauren Theresa Mundy, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6245 State Road 54, New Port Richey, FL 34653 Phone: 727-376-1111 | |
Jordan Schroeder, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4142 Rowan Rd, New Port Richey, FL 34653 Phone: 813-480-3663 | |
Srishti Joseph, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6400 Trouble Creek Rd, New Port Richey, FL 34653 Phone: 727-213-0721 | |
Madisen Kathleen Tager, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7657 Cita Ln, New Port Richey, FL 34653 Phone: 727-376-1111 Fax: 727-376-1113 | |
Tara Kaitlyn Fleming, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1726 Davenport Dr, New Port Richey, FL 34655 Phone: 727-493-2393 |