Individual
MR. NAKEYA LOVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4355 HIGH BRIDGE RD, QUINCY, FL 32351-6128
(850) 290-7296
Mailing address
4355 HIGH BRIDGE RD, QUINCY, FL 32351-6128
(850) 290-7296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L130636753010
DRIVERS LICENSE
FL
Enumeration date
09/30/2020
Last updated
09/30/2020
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