Individual
DAVID CLAY LAVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCS,RVS
Contact information
Practice address
382 NE 191ST ST, MIAMI, FL 33179-3899
(352) 514-6432
Mailing address
382 NE 191ST ST, MIAMI, FL 33179-3899
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
00097812
FL
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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