Search › Florida › 104100000X
Jean Dievendorf
NPI 1184173981 · on the registry since 2016
Practice
- Address
- 6050 Babcock St Se Ste 32
Palm Bay, FL 32909 - Phone
- (321) 684-8265
- Organisation at this address
- Assaf, Inc
Uplift Abilities Inc
Advanced Physical Therapy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 4630 Lipscomb St Ne Ste 1a, Palm Bay, FL
- 2475 Palm Bay Rd Ne, Palm Bay, FL
- 1127 S Patrick Dr, Satellite Beach, FL
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YM0800X
1041C0700X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-14
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