Individual
BRIAN CHARLES DEVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1904 PAR PL, SARASOTA, FL 34240-9689
(941) 929-3770
Mailing address
1904 PAR PL, SARASOTA, FL 34240-9689
(941) 929-3770
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
25200
FL
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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