Organization
JODI DALE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI BRUNSVOLD (PRES)
(561) 676-5198
Entity
Organization
Contact information
Practice address
4691 MANDERLY DR, WELLINGTON, FL 33449-7406
(561) 676-5198
(954) 343-6379
Mailing address
4691 MANDERLY DR, WELLINGTON, FL 33449-7406
(561) 676-5198
(954) 343-6379
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OT0697
FL
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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