SearchFlorida171100000X

Ivelisse Dejongh

NPI 1477700920 · on the registry since 2008 · sole proprietor

Practice

Address
79 Sw 12th St
Apartment 1110
Miami, FL 33130
Phone
(305) 319-1195
Organisation at this address
Ito Medical, Llc
Mental Wellness By Camila Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-08-20

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