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Javen Stanley Threatt
Student in an Organized Health Care Education/Training Program in Panama City, Florida
NPI 1205308715

Javen Stanley Threatt is a Student in an Organized Health Care Education/Training Program based in Panama City, FL. Javen Stanley Threatt practices in Panama City, FL. The NPI Number for Javen Stanley Threatt is 1205308715 and holds a License No. (Florida).

The current practice location address for Javen Stanley Threatt is 3040 Kings Rd, Panama City, FL and can be reached out via phone at 850-814-4259.

Location: 3040 Kings Rd, Panama City, FL, 32405-2038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205308715
Provider Name
Javen Stanley Threatt
Credential
Provider Entity Type
Individual
Gender
Male
Address
3040 Kings Rd, Panama City, FL, 32405-2038
Phone Number
850-814-4259
Fax Number
Provider Enumeration Date
12/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3040 Kings Rd
City
Panama City
State
Florida
Zip
32405-2038
Phone Number
850-814-4259
Fax Number
person
Provider Business Mailing Address Details
Address
3040 Kings Rd
City
Panama City
State
Florida
Zip
32405-2038
Phone Number
850-814-4259
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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