Individual
LAVONIA VALERIE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2981 NW 164TH TER, MIAMI GARDENS, FL 33054-6433
(305) 310-7212
(786) 373-3340
Mailing address
2981 NW 164TH TER, MIAMI GARDENS, FL 33054-6433
(305) 310-7212
(789) 373-3340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9533773
FL
164W00000X
Licensed Practical Nurse
5164644
FL
Other
Enumeration date
10/23/2014
Last updated
06/25/2020
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