Organization
DEVON MEDICAL SVC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEAH M DEVON BA, MED (OFFICE MANAGER)
(561) 393-3976
Entity
Organization
Contact information
Practice address
801 MEADOWS RD, SUITE 103, BOCA RATON, FL 33486-2346
(561) 393-3976
(561) 393-7266
Mailing address
801 MEADOWS RD, SUITE 103, BOCA RATON, FL 33486-2346
(561) 393-3976
(561) 393-7266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0049248
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB7530
RAILROAD MEDICARE
FL
01
—
P00125837
RAILROAD MEDICARE
FL
Enumeration date
08/05/2007
Last updated
01/15/2013
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