Individual
JAIME DEFALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2007 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33409-6501
(561) 420-8555
(888) 442-6078
Mailing address
2007 PALM BEACH LAKES BLVD, WEST PALM BEACH, FL 33409-6501
(561) 420-8555
(888) 442-6078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106517
FL
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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