Organization
CAROL DEAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL DEAN RN,BSN (OWNER)
(305) 303-5920
Entity
Organization
Contact information
Practice address
899 NW RIVERSIDE DR, PORT ST LUCIE, FL 34983-1583
(305) 303-5920
Mailing address
899 NW RIVERSIDE DR, PORT ST LUCIE, FL 34983-1583
(305) 303-5920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3098712
FL
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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