Individual
ANTHONY DEVINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 N SYKES CREEK PKWY, MERRITT ISLAND, FL 32953-3490
(321) 459-0303
Mailing address
4208 WOOD HAVEN DR, MELBOURNE, FL 32935-7153
(407) 254-3640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3036
LICENSE#
FL
Enumeration date
11/28/2006
Last updated
07/08/2007
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