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Javen Threatt
NPI 1205308715 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3040 Kings Rd
Panama City, FL 32405 - Phone
- (850) 814-4259
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2018-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida