person
Melva Gajeton Devera, MD
General Practice Physician in Lakeland, Florida
NPI 1528056082

Melva Gajeton Devera is a General Practice Physician based in Bartow, FL. Melva Gajeton Devera practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Melva Gajeton Devera is 1528056082 and holds a License No. ME49999 (Florida).

The current practice location address for Melva Gajeton Devera is 3241 Lakeland Hills Blvd, Lakeland, FL and can be reached out via phone at 863-413-2620 and via fax at 863-499-2612. You can also correspond with Melva Gajeton Devera through the mailing address at 1290 GOLFVIEW AVE, BARTOW, FL - 33830-6738 (mailing address contact number: 863-519-7900).

Location: 3241 Lakeland Hills Blvd, Lakeland, FL, 33830-6738
person
Provider Profile Details
NPI Number
1528056082
Provider Name
Melva Gajeton Devera
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3241 Lakeland Hills Blvd, Lakeland, FL, 33830-6738
Phone Number
863-413-2620
Fax Number
863-499-2612
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
255121700 05 FL
institution
Provider Business Practice Location Address Details
Address
3241 Lakeland Hills Blvd
City
State
Zip
33805-2266
Phone Number
863-413-2620
Fax Number
863-499-2612
person
Provider Business Mailing Address Details
Address
3241 Lakeland Hills Blvd
City
State
Zip
33805-2266
Phone Number
863-413-2620
Fax Number
863-499-2612
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME49999 (Florida)
Definition
Definition to come...
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