Provider Demographics
NPI:1356882146
Name:FLORVIL, ADHEVIL
Entity type:Individual
Prefix:
First Name:ADHEVIL
Middle Name:
Last Name:FLORVIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-6346
Mailing Address - Country:US
Mailing Address - Phone:954-496-5878
Mailing Address - Fax:
Practice Address - Street 1:7305 NW 54TH ST
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-6346
Practice Address - Country:US
Practice Address - Phone:954-496-5878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9329291163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse