Individual
THOMAS DEBARTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
2865 MELALEUCA DR, PALM SPRINGS, FL 33406-5403
(561) 841-3500
Mailing address
2865 MELALEUCA DR, PALM SPRINGS, FL 33406-5403
(561) 841-3500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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