Individual
DEVINN SHAVONNE GOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 S ORANGE AVE STE 500, ORLANDO, FL 32806-2967
(407) 540-1000
(407) 540-1011
Mailing address
1720 S ORANGE AVE STE 500, ORLANDO, FL 32806-2967
(407) 540-1000
(407) 540-1011
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9116380
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/10/2022
Last updated
12/20/2022
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