Individual
CARLOS DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
300 EXECUTIVE CENTER DR, WEST PALM BEACH, FL 33401-4842
(561) 471-5566
Mailing address
1411 W JENNINGS ST, LANTANA, FL 33462-4124
(561) 502-3129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38016
FL
Other
Enumeration date
12/02/2021
Last updated
08/12/2024
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