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Individual

LISA BEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PM

Contact information

Practice address
111 JIM MORAN BLVD, DEERFIELD BEACH, FL 33442-1701
(954) 426-2418
(954) 429-2489
Mailing address
8991 NW 67TH CT, TAMARAC, FL 33321-3605
(954) 605-2586

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
JA11573
FL

Other

Enumeration date
02/05/2015
Last updated
02/05/2015
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