Individual
JOSEPHINE A PREVILON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
603 N FLAMINGO RD STE 151, PEMBROKE PINES, FL 33028-1021
(954) 265-4325
(954) 436-4606
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292155300
—
FL
Enumeration date
05/12/2006
Last updated
03/19/2021
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