Stevens, Johnathon Kevin

Stevens, Johnathon Kevin is an sole proprietor health care provider with primary practice located at 1900 Palm Bay Rd Ne Suite D, Palm Bay FL 32905-2955. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Stevens, Johnathon Kevin can be contacted via phone (321) 208-1316.

Contact Information

Primary practice address
1900 Palm Bay Rd Ne Suite D Palm Bay FL 32905-2955
Phone: (321) 208-1316
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MA59178 Florida

Profile Details

NPI number 1720377807
LBN Legal business name Stevens, Johnathon Kevin
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2011
Last updated Mar 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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