Individual
ADRIENNE M DISSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7775 134TH ST, SEBASTIAN, FL 32958-3740
(772) 581-9972
(772) 589-9241
Mailing address
7775 134TH ST, SEBASTIAN, FL 32958-3740
(772) 581-9972
(772) 589-9241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X-CASE MANA
FL
Other
Enumeration date
04/03/2007
Last updated
07/09/2007
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