Individual
MR. MONFORT ALEXANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CARE TAKER
Contact information
Practice address
1762 SE CARVALHO ST, PORT ST LUCIE, FL 34983-4554
(772) 577-3861
(772) 577-3790
Mailing address
1762 SE CARVALHO ST, PORT ST LUCIE, FL 34983-4554
(772) 577-3861
(772) 577-3790
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
AL13125
FL
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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