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Individual

DAWN RENEE VERVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
9800 S HEALTHPARK DR, SUITE #205, FORT MYERS, FL 33908-7603
(239) 985-3580
(239) 985-3589
Mailing address
9800 S HEALTHPARK DR, SUITE #205, FORT MYERS, FL 33908-7603
(239) 985-3580
(239) 985-3589

Taxonomy

Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
RT 4246
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
887983400
FL
Enumeration date
10/13/2006
Last updated
06/19/2008
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