| Doctor Name: | MELVA GAJETON DEVERA |
| NPI Number: | 1528056082 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | ME49999 |
| Business Practice Address: | 3241 Lakeland Hills Blvd Lakeland, FL - 338052266 |
| Business Phone Number: | 8634132620 |
| Business Fax Number: | 8634992612 |
| Mailing Address: | 1290 Golfview Ave, Attn: Billing Department BARTOW |
| State: | FL |
| Postal Code: | 338306738 |
| Phone Number: | 8635197900 |
| Fax Number: | 8635197696 |
| NPI Enumeration Date: | 10/10/2005 |
| NPI Last Update Date: | 08/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME49999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |