Individual
MRS. PATRICIA BUONVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRTT
Contact information
Practice address
619 S MARION AVENUE, LAKE CITY VA MEDICAL CENTER, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
403 10TH AVE NW, JASPER, FL 32052-5845
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
TUC12
FL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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