Individual
DEVEN SETH MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-6815
(352) 273-7515
Mailing address
2549 AMBLE WAY # 2321, LAND O LAKES, FL 34639-3727
(941) 724-1053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120314
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127927400
—
FL
Enumeration date
02/01/2023
Last updated
10/29/2025
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