Individual ProviderKristina DeveauCounselorBehavioral Health & Social Service ProvidersPractice Address710 Oakfield Dr, Brandon, FL 33511-4938(866) 472-7075(813) 785-0755PECOS EnrollmentBased on the most recent information from CMS, provider Kristina Deveau is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1376298406Provider TypeIndividualFull NameDeveau, KristinaGenderFemaleSole ProprietorNoEnumeration Date2/17/2022Last Updated5/1/2023Contact InformationPractice LocationPractice Address710 Oakfield Dr, Brandon, FL 33511-4938Phone(866) 472-7075FaxUnlisted FaxMailing LocationMailing Address4453 Tubular Run, Land O Lakes, FL 34638-2760Phone(813) 785-0755FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer