Individual
JEAN ALIX DESROSIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6704 RIO PINAR, NORTH LAUDERDALE, FL 33068-3840
(954) 665-0142
Mailing address
6704 RIO PINAR, NORTH LAUDERDALE, FL 33068-3840
(954) 665-0142
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002270-P.A.
PR
Other
Enumeration date
02/10/2025
Last updated
03/25/2026
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