Individual
JEAN DANIEL LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2949 SW SKYLINE ST, PORT SAINT LUCIE, FL 34953-3342
(772) 834-0397
Mailing address
2949 SW SKYLINE ST, PORT SAINT LUCIE, FL 34953-3342
(772) 834-0397
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
L622634801000
FL
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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