| Doctor Name: | MR. DEVAN ALLEN WARD |
| NPI Number: | 1013294842 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA9106287 |
| Business Practice Address: | 2307 W Broward Blvd Ste 200 Fort Lauderdale, FL - 333121417 |
| Business Phone Number: | 9547921010 |
| Business Fax Number: | 9547921199 |
| Mailing Address: | 2307 W Broward Blvd, Ste 200 FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333121417 |
| Phone Number: | 9547921010 |
| Fax Number: | 9547921199 |
| NPI Enumeration Date: | 11/08/2011 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA9106287 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |