Organization · NPI-2

Aaron M Shevlin Dpm PA

Durable Medical Equipment & Medical Supplies · Port Saint Lucie, FL

NPI number1629256417
StatusActive
Last updated in NPPESMar 18, 2010

Details

NPI
1629256417
Entity type
Organization (NPI-2)
Legal business name
Aaron M Shevlin Dpm PA
Organization subpart
No
Enumeration date
Feb 5, 2008
Last updated
Mar 18, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
261Q00000X Clinic/Center––

Practice location

1696 Se Hillmoor Dr
Ste B
Port Saint Lucie, FL 34952-7699

Phone 772-335-1200 · Fax 772-335-1292

Mailing address

1696 Se Hillmoor Dr
Ste B
Port Saint Lucie, FL 34952-7699

Phone 772-335-1200 · Fax 772-335-1292

Authorized official

Aaron Shevlin
President
7723351200

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