KIBIBI DAVISON (NPI# 1063676575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063676575 |
| Entity Type | Individual |
| Full Name | KIBIBI DAVISON |
| Credential | DPM |
| Practice Address |
7532 Clearview Dr Tampa FL 33634 |
| Mailing Address |
7532 Clearview Dr Tampa FL 33634-2930 |
| Practice Telephone | 8135256135 |
| Mailing Telephone | 8135256135 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | PO4035 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | SC006042 | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
016.005441 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
07001101A | IN | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | SC006042 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6347 S Drexel Ave Unit 1, Chicago, IL 606373501 | 8135256135 |
| Street Address |
7532 CLEARVIEW DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196956 | In Home Podiatry Sc | Podiatrist | 7532 Clearview Dr, Tampa, FL 33634-2930 | 2019-04-02 |
| 1902143621 | Davison Health Solutions LLC | Public Health or Welfare | 7532 Clearview Dr, Tampa, FL 33634-2930 | 2013-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196956 | In Home Podiatry Sc | Podiatrist | 7532 Clearview Dr, Tampa, FL 33634-2930 | 2019-04-02 |
| 1285804153 | Ankle & Foot Center of Tampa Bay | Podiatrist | 13907 N Dale Mabry Hwy, Suite #103, Tampa, FL 33618-2411 | 2008-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531286 | Samuel S Woociker Dpm Pa | Podiatrist | 445 Warrior Trl, Enterprise, FL 32725-2456 | 2020-02-26 |
| 1467090639 | Ankle Foot and Leg Centers Inc. | Podiatrist | 3075 Chestnut Ridge Way, Orange Park, FL 32065-3629 | 2019-12-18 |
| 1396205423 | Scott Jeffry Blutstein | Podiatrist | 10578 Sw Capraia Way, Port St Lucie, FL 34986-2885 | 2019-03-24 |
| 1265968929 | Northeast Florida Endocrine & Diabetes Associates, Pa | Podiatrist | 11236 Baptist Health Dr, Suite 340, Jacksonville, FL 32218-2980 | 2017-05-02 |
| 1184163784 | Patrick Dennis Martyka | Podiatrist | 4631 Nw 5th Ave, Oakland Park, FL 33309-4002 | 2017-02-15 |
| 1700237799 | Rebecca Desimone | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2016-06-30 |
| 1326403585 | Gentle Care Podiatry, LLC | Podiatrist | 8450 Gate Pkwy W, Unit 1504, Jacksonville, FL 32216-1049 | 2015-12-15 |
| 1528441904 | Zain Barnouti | Podiatrist | 9310 Old Kings S Rd 1201, Jacksonville, FL 32257-6196 | 2015-07-03 |
| 1790188514 | George Zislis | Podiatrist | 1300 Moffett St Apt 201, Hallandale Beach, FL 33009-2718 | 2014-10-07 |
| 1639411648 | Robert George Smith | Podiatrist | 723 Lucerne Cir, Ormond Beach, FL 32174-4624 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIBIBI DAVISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.