Organization
LADELE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAHOMEY R ABANISHE PHD (MGRM)
(386) 320-3233
Entity
Organization
Contact information
Practice address
1982 STATE ROAD 44, SUITE 162, NEW SMYRNA BEACH, FL 32168-8349
(386) 320-3233
Mailing address
1982 STATE ROAD 44 NUM 162, NEW SMYRNA BEACH, FL 32168
(386) 320-3233
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 8868
FL
Other
Enumeration date
10/02/2013
Last updated
10/14/2013
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