Individual
JACEK DYGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
149 MAGNOLIA AVE, SEBRING, FL 33870-3613
(321) 696-9464
Mailing address
149 MAGNOLIA AVE, SEBRING, FL 33870-3613
(321) 696-9464
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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