Individual
JAMAINE HARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7737 PENGROVE PASS, ORLANDO, FL 32835-6814
(407) 432-6914
Mailing address
7737 PENGROVE PASS, ORLANDO, FL 32835-6814
(407) 432-6914
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H615-433-74-045-0
FL
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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