Devera, Melva Gajeton

Devera, Melva Gajeton is an individual health care provider with primary practice located at 3241 Lakeland Hills Blvd , Lakeland FL 33805-2266. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Devera, Melva Gajeton can be contacted via phone (863) 413-2620.

Contact Information

Primary practice address
3241 Lakeland Hills Blvd Lakeland FL 33805-2266
Phone: (863) 413-2620
Fax: (863) 499-2612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME49999 Florida

Profile Details

NPI number 1528056082
LBN Legal business name Devera, Melva Gajeton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Aug 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528056082 NPPES
Florida MEDICAID 255121700

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