Provider Demographics
NPI:1932276524
Name:DAVIS, JANIS CAMILLE (DC)
Entity Type:Individual
Prefix:DR
First Name:JANIS
Middle Name:CAMILLE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JANIS
Other - Middle Name:CAMILLE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:197 CORUMBA ST
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33983-5625
Mailing Address - Country:US
Mailing Address - Phone:239-848-8214
Mailing Address - Fax:
Practice Address - Street 1:2830 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-7115
Practice Address - Country:US
Practice Address - Phone:941-927-1234
Practice Address - Fax:941-921-0043
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX5477111N00000X
PADC-008018-R111N00000X
FLCH9042111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor