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Organization
DR FADEZ
Active
Organization
DR FADEZ
Active
Other names
DR FADEZ BARBERSHOP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN C DELCID (CERTIFIED HAIR LOSS SPECIALIST)
(772) 353-5501
Entity
Organization
Contact information
Practice address
302 SW TULIP BLVD STE B, PORT ST LUCIE, FL 34953-6299
(772) 353-5501
Mailing address
302 SW TULIP BLVD STE B, PORT ST LUCIE, FL 34953-6299
(772) 353-5501
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
NULL
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
04/12/2021
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