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DEVON SCHEFANO IDC

Independent Duty Corpsman >> Military Health Care Provider >> Other Service Providers

Registrant NPI Number: 1588907042

Individual Registrant:
 DEVON  SCHEFANO IDC
Gender: M
Sole Proprietor

Location and contact information for practice:
1204 MASSEY AVE  MAYPORT, FL 32228 US
Tel: 904-270-4309  Fax: --

Contact information for business:
4878 SUSANNA WOODS CT  JACKSONVILLE, FL 32257-5264 US
Tel: 509-270-7502  Fax: --

Registration Information:
NPI: 1588907042
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1710I1002XOther Service Providers
Military Health Care Provider
Independent Duty Corpsman

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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