Search › Florida › 104100000X
Jean Dantilus
NPI 1548328305 · on the registry since 2006 · sole proprietor
Practice
- Address
- 555 Nw Twylite Ter
Port St Lucie, FL 34983 - Phone
- (772) 979-0288
- Fax
- (772) 871-9270
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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