Individual
MR. BERNARD ROC LILAVOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 62ND AVE S, ST PETERSBURG, FL 33712-5712
(727) 430-4130
Mailing address
1700 62ND AVE S, ST PETERSBURG, FL 33712-5712
(727) 430-4130
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT9278
FL
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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