Individual
DERRICK ALAN SOVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2435 US HIGHWAY 19, SUITE 100, HOLIDAY, FL 34691-3903
(727) 939-2230
(727) 939-2245
Mailing address
951 BROKEN SOUND PKWY NW, 225, BOCA RATON, FL 33487-3507
(561) 241-9300
(561) 658-3992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT22771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT22771
FLORIDA PROFESSIONAL LIC
FL
Enumeration date
07/26/2006
Last updated
07/08/2007
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