Search › Florida › 164W00000X
Shantavis Fayson
NPI 1992466171 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2802 Ne 53rd Ct # 194
Gainesville, FL 32609 - Phone
- (850) 933-1399
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida