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Dr. Justin Lee Pevner, MD
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1932959269

Justin Lee Pevner is a Student in an Organized Health Care Education/Training Program based in Tampa, FL. Justin Lee Pevner practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Justin Lee Pevner is 1932959269 and holds a License No. (Florida).

The current practice location address for Justin Lee Pevner is 17 Davis Blvd Ste 308, Tampa, FL and can be reached out via phone at 813-972-2000.

Location: 17 Davis Blvd Ste 308, Tampa, FL, 33606-3438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932959269
Provider Name
Justin Lee Pevner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17 Davis Blvd Ste 308, Tampa, FL, 33606-3438
Phone Number
813-972-2000
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
17 Davis Blvd Ste 308
City
Tampa
State
Florida
Zip
33606-3438
Phone Number
813-972-2000
Fax Number
person
Provider Business Mailing Address Details
Address
17 Davis Blvd Ste 308
City
Tampa
State
Florida
Zip
33606-3438
Phone Number
813-972-2000
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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