Organization
DIVINE PHLEBOTOMY TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVAN CHRISTIAN (OWNER)
(407) 684-6981
Entity
Organization
Contact information
Practice address
5533 LESSER DR, ORLANDO, FL 32818-1245
(407) 684-6981
Mailing address
5533 LESSER DR, ORLANDO, FL 32818-1245
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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