Search › Florida › 171100000X
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 LlcInferred 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