Individual
MR. JOSE MELECIO DELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14401 NE 153RD AVE, APARTMENT 21, WALDO, FL 32694-4020
(352) 260-7372
Mailing address
14401 NE 153RD AVE, APARTMENT 21, WALDO, FL 32694-4020
(352) 260-7372
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P5171635
FL
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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