Individual
AMY M DECELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
808 NW 76TH TER, PLANTATION, FL 33324-1443
(786) 408-4298
Mailing address
808 NW 76TH TER, PLANTATION, FL 33324-1443
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
FL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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