Individual
MR. DESMOND DEPASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
4621 N UNIVERSITY DR., CORAL SPRINGS, FL 33067
(954) 471-7950
Mailing address
16951 SW 63RD MNR, SOUTHWEST RANCHES, FL 33331
(954) 471-7950
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
225700000X
Massage Therapist
Primary
MA78630
FL
Other
Enumeration date
07/06/2015
Last updated
07/22/2015
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