Organization
DANIELLE DEFREITAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE SORIERO AP (OWNER/PROVIDER)
(754) 800-4826
Entity
Organization
Contact information
Practice address
910 NE 19TH AVE, FORT LAUDERDALE, FL 33304-3031
(754) 800-4826
Mailing address
1201 SE 2ND CT APT 209, FORT LAUDERDALE, FL 33301-3664
(954) 552-0333
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104614600
—
FL
Enumeration date
03/26/2020
Last updated
03/26/2020
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