Provider Demographics
NPI:1578352290
Name:DAVIS, ASHLEY RUBIN
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RUBIN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8931 COLONIAL CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-7809
Mailing Address - Country:US
Mailing Address - Phone:239-343-9500
Mailing Address - Fax:
Practice Address - Street 1:8931 COLONIAL CENTER DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-7809
Practice Address - Country:US
Practice Address - Phone:561-716-6192
Practice Address - Fax:561-716-6192
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11042218363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health