Organization
JOSE DELL
Active
Other names
Jose Dell
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MELECIO DELL SR. PN5171635 (LPN)
(352) 260-7372
Entity
Organization
Contact information
Practice address
14401 NE 153RD AVE, APT. 21, WALDO, FL 32694-4020
(352) 260-7372
Mailing address
14401 NE 153RD AVE., APT. 21, WALDO, FL 32694
(352) 260-7372
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5171635
FL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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