Search › Florida › 363LF0000X
Jeannette Derita, ARNP
NPI 1528666575 · on the registry since 2020
Practice
- Address
- 1690 Dunlawton Ave Ste 120
Port Orange, FL 32127 - Phone
- (386) 449-9650
- Organisation at this address
- El Kebeer
Imacs, Llc
Volusia Family Care Pa
Advanced Gastroenterology
Progressive Medical Lab, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-13
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