Individual
JOHN PAUL DILORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4450 W EAU GALLIE BLVD, MELBOURNE, FL 32934-7213
(321) 722-5200
Mailing address
4450 W EAU GALLIE BLVD, MELBOURNE, FL 32934-7213
(321) 722-5200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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