Individual
JOHANNA MARISOL DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
981 37TH PL, VERO BEACH, FL 32960-6541
(772) 257-5785
(772) 257-5325
Mailing address
827 18TH ST, VERO BEACH, FL 32960-6481
(772) 925-8190
(772) 925-8199
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME131833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021558800
—
FL
Enumeration date
04/08/2014
Last updated
01/21/2026
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