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Individual

MATE DEZAMITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3170 N FEDERAL HWY STE 211F, LIGHTHOUSE POINT, FL 33064-6722
(855) 866-6999
Mailing address
3170 N FEDERAL HWY STE 211F, LIGHTHOUSE POINT, FL 33064-6722
(855) 866-6999

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
234859
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81-4639693
HOMEMAKER AND COMPANION SERVICES PROVIDER
FL
Enumeration date
07/06/2017
Last updated
08/24/2017
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