Individual
JOSE DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12953 PALMS WEST DR STE 102, LOXAHATCHEE, FL 33470
(561) 793-1713
(561) 793-3242
Mailing address
6101 BLUE LAGOON DR STE 400, MIAMI, FL 33126-2051
(561) 793-1713
(561) 793-3242
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
9281329
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9281329
FL
Other
Enumeration date
01/18/2017
Last updated
05/05/2025
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