Individual
DR. JOSE ANTONIO DEOLAZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 BURNS RD, SUITE 201, PALM BEACH GARDENS, FL 33410-4325
(561) 694-1101
(561) 694-1102
Mailing address
116 POINCIANA DR, JUPITER, FL 33458-2830
(561) 622-3375
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS8634
FL
Other
Enumeration date
04/04/2006
Last updated
03/11/2013
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