Individual
DR. ISSACHAR JUDE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2692 W LAKE MARY BLVD, LAKE MARY, FL 32746-3535
(321) 710-8027
Mailing address
4960 SW 72ND AVE STE 405, MIAMI, FL 33155-5506
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS20394
FL
Other
Enumeration date
03/26/2018
Last updated
03/24/2025
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