Individual
EDDY J DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
722 RIVERSIDE DR, CORAL SPRINGS, FL 33071-7008
(954) 345-4333
(954) 345-4334
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 960-1234
(718) 960-2055
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME143523
FL
Other
Enumeration date
06/25/2015
Last updated
09/02/2020
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