Organization
STEVENS JOINT ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH STEVENS (OWNER)
(772) 475-1463
Entity
Organization
Contact information
Practice address
1038 LAKE BERKLEY DR, KISSIMMEE, FL 34746-6127
(772) 475-1463
Mailing address
1038 LAKE BERKLEY DR, KISSIMMEE, FL 34746-6127
(772) 475-1463
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/27/2021
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