Zevon M Stubblefield ATC, LAT

NPI 1548284300 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1548284300
Gender Male
Enumeration Date 07/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
FT. LAUDERDALE FL, 33314-7796, US
Phone (754) 264-9154
Business Location
4100 N 58TH AVE APT 102
HOLLYWOOD FL, 33021-1531, US
Phone (754) 264-9154
Taxonomy Code 2255A2300X
License State Florida
License Number AL 1729
Remove 1548284300 NPI Number

According to our database, Mr. Zevon M Stubblefield ATC, LAT NPI is 1548284300, taxonomy code is 2255A2300X and license number is AL 1729, license state is located at Florida. Zevon M Stubblefield ATC, LAT physically located at 3301 College Ave., Ft. Lauderdale FL, 33314-7796. NPI Number Zevon M Stubblefield ATC, LAT has the Individual type.

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1548284300 NPI number is provided on an as is basis without warranty of any kind. 1548284300 is maintained by the National Plan & Provider Enumeration System. The contents of Zevon M Stubblefield ATC, LAT are for informational purposes only.