Individual
JEAN RAYNALD DELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 NW 183RD ST STE 203, MIAMI GARDENS, FL 33169-4578
(305) 878-9718
Mailing address
111 NW 183RD ST STE 203, MIAMI GARDENS, FL 33169-4578
(305) 878-9718
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11012079
FL
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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