Individual
JOHN DEVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1300 LONGVILLE CIR, TAVARES, FL 32778-4945
(352) 530-6171
Mailing address
1300 LONGVILLE CIR, TAVARES, FL 32778-4945
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27582
FL
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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