Devine, John C.

Devine, John C. is an sole proprietor health care provider with primary practice located at Cgc Vigilant (Wmec-617) 9235 Grouper Road, Port Canaveral FL 32920. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Devine, John C. can be contacted via phone (321) 853-7176.

Contact Information

Primary practice address
Cgc Vigilant (Wmec-617) 9235 Grouper Road Port Canaveral FL 32920
Phone: (321) 853-7176
Fax: (321) 784-0382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1659598274
LBN Legal business name Devine, John C.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 17 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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