Individual
DR. EDWIN PREVATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 NORTH CLYDE MORRIS BLVD., SUITE 200, HALIFAX FAMILY HEALTH CENTER, DAYTONA BEACH, FL 32114-2765
(386) 947-4665
(386) 258-4891
Mailing address
201 NORTH CLYDE MORRIS BLVD., SUITE 200, HALIFAX FAMILY HEALTH CENTER, DAYTONA BEACH, FL 32114-2765
(386) 947-4665
(386) 258-4891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME40803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068824000
—
FL
Enumeration date
08/21/2006
Last updated
04/05/2010
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