Individual
JAVIER CONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8657 JAMESTOWN DR, WINTER HAVEN, FL 33884-4838
(407) 375-3559
Mailing address
8657 JAMESTOWN DR, WINTER HAVEN, FL 33884-4838
(407) 375-3559
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
853
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C532420730190
—
FL
Enumeration date
12/31/2020
Last updated
02/15/2021
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