| Doctor Name: | AMARIS NAVEDO |
| NPI Number: | 1225258122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 14431 |
| Business Practice Address: | 3353 University Pkwy Fort Polk Va Community Based Outpatient Clinic Leesville, LA - 714469041 |
| Business Phone Number: | 3373923800 |
| Business Fax Number: | 3373923890 |
| Mailing Address: | 3353 University Pkwy, Fort Polk Va Community Based Outpatient Clinic LEESVILLE |
| State: | LA |
| Postal Code: | 714469041 |
| Phone Number: | 3373923800 |
| Fax Number: | 3373923890 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14431 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |