Doctor Name: | JOHN B. DEVINE |
NPI Number: | 1033197504 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35065372 |
Business Practice Address: | 8431 Pointe Loop Dr 2nd Floor Venice, FL - 342932232 |
Business Phone Number: | 9412075330 |
Business Fax Number: | 9412075346 |
Mailing Address: | 8431 Pointe Loop Dr, 2nd Floor VENICE |
State: | FL |
Postal Code: | 342932232 |
Phone Number: | 9412075330 |
Fax Number: | 9412075346 |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 35065372 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |