Individual
JEAN MAXCENE DECARDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
548 SOLANA CIRCLE, DAVENPORT, FL 33897
(407) 723-3832
(888) 241-1704
Mailing address
1746 E SILVER STAR RD STE 606, OCOEE, FL 34761-7014
(407) 723-3832
(888) 241-1704
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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