Individual
ADENS PREVILON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10794 PINES BLVD STE 205, PEMBROKE PINES, FL 33026-3920
(954) 538-8543
(954) 431-8153
Mailing address
10794 PINES BLVD STE 205, PEMBROKE PINES, FL 33026-3920
(954) 538-8543
(954) 431-8153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
009738
NY
363A00000X
Physician Assistant
Primary
PA9103610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006737400
—
FL
Enumeration date
07/08/2006
Last updated
11/11/2021
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