SearchFloridaStudent in an Organized Health Care Education/Training Program

J Dedeaux

NPI 1922493840 · on the registry since 2015

Practice

Address
4450 Riverview Pl
Pace, FL 32571
Phone
(850) 450-5573

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-30

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