Individual
MIKAELA DEVAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1414 KUHL AVE # MP31, ORLANDO, FL 32806-2008
(407) 237-6329
(407) 649-3083
Mailing address
PO BOX 2400, MELBOURNE, FL 32902-2400
(321) 255-9671
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
ME130853
FL
Other
Enumeration date
07/02/2014
Last updated
07/26/2017
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