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Individual
MR. JIMMY LEE EAVES
Active
Individual
MR. JIMMY LEE EAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PERSONAL CARE
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002169700
—
FL
Enumeration date
11/01/2011
Last updated
07/21/2022
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