Individual
MR. JOHN R. BEVERLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 KAY LARKIN DRIVE, PALATKA, FL 32177-2307
(386) 329-3780
(386) 385-1269
Mailing address
330 KAY LARKIN DRIVE, PALATKA, FL 32177-2307
(386) 329-3780
(386) 385-1269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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