NPI 1861858789

Corlette Deveaux

Practitioner Bus Pembroke Pines, FL

Practice location

Address: 12201 Pembroke Rd, Pembroke Pines, FL 33025-1725
Phone: (751) 210-3374
Fax: (954) 362-4923

Registered specialties (2)

Bus Primary

Transportation Services Taxonomy 347B00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X Licence 236440 (FL)

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Registry record

NPI: 1861858789
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2016
Record last updated: 7 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.