HARRY R PREVATT

ST AUGUSTINE, FL
NPI1851486609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA0002707)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
-- HARRY R PREVATT PA
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086-5784
Phone number: 904-826-4700
Mailing Address
-- HARRY R PREVATT PA
PO BOX 863639
ORLANDO, FL 32886-3639
Phone number: 904-827-0507
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