Individual
VANESA DEL PILAR DISLA DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 2ND AVE N STE 320, ST PETERSBURG, FL 33701-3338
(727) 564-9955
Mailing address
324 W WATER ST APT 408, SYRACUSE, NY 13202-1095
(646) 726-1334
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME155930
FL
Other
Enumeration date
06/09/2016
Last updated
05/24/2022
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