Individual
JUVENAL HAVYARIMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308
(850) 325-5000
Mailing address
9901 WATERS MEET DR, TALLAHASSEE, FL 32312-3747
(325) 733-3524
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
138597
FL
207P00000X
Emergency Medicine Physician
1821
TX
207P00000X
Emergency Medicine Physician
81353
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2016
Last updated
11/13/2019
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