Individual
JOHN B. DEVINE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 COMMERCIAL CT STE E, VENICE, FL 34292-1623
(941) 457-7700
(941) 220-3327
Mailing address
375 COMMERCIAL CT STE E, VENICE, FL 34292-1623
(941) 457-7700
(941) 220-3327
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
35065372
OH
207VG0400X
Gynecology Physician
Primary
ME125455
FL
208800000X
Urology Physician
35-065372
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016370600
—
FL
01
—
4259931
MEDICARE ID
OH
01
—
JO0875011
MEDICARE ID
OH
Enumeration date
01/05/2006
Last updated
06/20/2022
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