Individual
DR. GERARDO DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N SEMORAN BLVD, ORLANDO, FL 32807-3536
(407) 405-7677
Mailing address
2557 RUNYON CIR, ORLANDO, FL 32837-5206
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
IMH5110
FL
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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