John C. Devine

NPI #1659598274 in Port Canaveral, Florida

Provider Information

NPI Number
1659598274
Entity Type
Individual
Name
John C. Devine
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Enumeration Date
Apr 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
CGC VIGILANT (WMEC-617)
Address 2
9235 GROUPER ROAD
State
Florida
ZIP Code
32920
Phone
(321) 853-7176

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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