Individual
KEVIN MCCAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 SE 7TH AVE, CRYSTAL RIVER, FL 34429-4891
(352) 795-4114
Mailing address
21500 SW MONACO CT, DUNNELLON, FL 34431-2985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 18111
FL
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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