Provider Demographics
NPI:1255737607
Name:DESVARIEUX, KERFIE
Entity type:Individual
Prefix:
First Name:KERFIE
Middle Name:
Last Name:DESVARIEUX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 SARAZEN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-6148
Mailing Address - Country:US
Mailing Address - Phone:407-309-0856
Mailing Address - Fax:
Practice Address - Street 1:1332 44TH ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-1229
Practice Address - Country:US
Practice Address - Phone:407-309-0856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services