Individual
MR. LAVAUD FEVRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADMINISTRATOR
Contact information
Practice address
6900 SILVER STAR RD STE 210, ORLANDO, FL 32818-3140
(407) 704-8766
(407) 704-8763
Mailing address
6900 SILVER STAR RD SUITE 210, ORLANDO, FL 32818-3140
(407) 704-8766
(407) 704-8763
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
HCC6718
FL
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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