Melva Gajeton Devera in Bartow - General Practice
Melva Gajeton Devera - NPI 1528056082
Melva Gajeton Devera is a General Practice in Bartow, Florida. Melva Gajeton Devera practices all healthcare services and medical treatments related to General Practice. The NPI Number for Melva Gajeton Devera is 1528056082. The last update date is 2010-08-11.
Melva Gajeton Devera's current location address is 1290 Golfview Ave, Bartow, Florida. You can contact this provider via phone number 8635197900 and fax number 8635197696. The mailing address for Melva Gajeton Devera is 1290 Golfview Ave, Bartow, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melva Gajeton Devera |
|---|---|
| Address | 1290 Golfview Ave, Bartow, Florida |
| Phone Number | 8635197900 |
| Fax Number | 8635197696 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528056082 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2010-08-11 |
Provider Mailing Address Detail
| Address | 1290 Golfview Ave |
|---|---|
| City | Bartow |
| State | Florida (FL) |
| Post Code | 338306738 |
| Phone Number | 8635197900 |
| Fax Number | 8635197696 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | ME49999 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 255121700 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Melva Gajeton Devera?
The Melva Gajeton Devera has been issued the NPI (National Provider Identifier) 1528056082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Melva Gajeton Devera located?
The Melva Gajeton Devera is located at 1290 Golfview Ave, Bartow, FL 338306738.
What is Melva Gajeton Devera's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Melva Gajeton Devera's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528056082 to Melva Gajeton Devera?
The Centers for Medicare & Medicaid Services assigned the 1528056082 to Melva Gajeton Devera on 2005-10-10.
As of what date were the details related to Melva Gajeton Devera most recently updated or revised?
The information pertaining to Melva Gajeton Devera, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-11.