Individual
GINA M DESALVO ASSUNCAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-1033
(954) 779-2316
Mailing address
1401 S FEDERAL HWY, FORT LAUDERDALE, FL 33316-2619
(954) 728-1033
(954) 779-2316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015477000
—
FL
Enumeration date
06/12/2015
Last updated
03/02/2022
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