Individual
JIMMY BILL SERVETAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
653 CANTER CT, AVON LAKE, OH 44012-4026
(440) 930-5850
Mailing address
653 CANTER COURT, AVON LAKE, OH 44012
(440) 930-5850
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS11391
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2007
Last updated
11/21/2011
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