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Contact Information

JOHN C DEVINE
CGC VIGILANT (WMEC-617)
9235 GROUPER ROAD
PORT CANAVERAL, FL32920
 Phone: 321-853-7176
 Fax: 321-784-0382
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for JOHN C DEVINE · (Male)

NPI Number 1659598274
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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