Individual
MR. DERRICK R CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
132 S PALMWAY APT 3, LAKE WORTH, FL 33460-4282
(561) 502-0637
Mailing address
132 S PALMWAY APT 3, LAKE WORTH, FL 33460-4282
(561) 502-0637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9477206
FL
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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