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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528056082 | NPPES |
| Florida | MEDICAID | 255121700 |
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