MELVA GAJETON DEVERA MD
NPI 1528056082
General Practice in Lakeland, FL

Q: What is Melva Devera's NPI number?

The NPI number for Melva Devera is 1528056082. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Q: What is Melva Devera's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Melva Devera was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2005

3241 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 413-2620(863) 499-2612 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Melva Gajeton Devera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELVA GAJETON DEVERA MD (NPI 1528056082) is an individual general practice provider in Lakeland, Florida, licensed in Florida (ME49999) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1528056082

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameMELVA GAJETON DEVERACredential: MD

Location Address3241 LAKELAND HILLS BLVDLakeland, FL 33805-2266

Mailing Address1290 Golfview Ave, Attn: Billing DepartmentBartow, FL 33830-6738 · (863) 519-7900 · Fax (863) 519-7696

Phone(863) 413-2620

Fax(863) 499-2612

Sole ProprietorNo

Enumeration DateOctober 10, 2005

Last NPPES UpdateAugust 11, 2010

✔ NPI 1528056082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in FL · ME49999

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3241 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Other Identifiers 3

Medicare ID-Type Unspecified04079Z

Medicaid255121700FL

Medicare UPIND20877

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELESTE MARIA SHIVAK RN

Registered Nurse (School)