Individual
MR. MICHAEL DELANEUVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1811 SW JAMESPORT DR, PORT SAINT LUCIE, FL 34953-4599
(561) 312-3348
Mailing address
1094 MILITARY TRL, JUPITER, FL 33458-7021
(561) 622-6111
(855) 215-9930
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9266339
FL
363LG0600X
Gerontology Nurse Practitioner
9266339
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
9266339
FL
Other
Enumeration date
05/08/2014
Last updated
08/21/2020
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