Individual
MS. EVELYNE DALEMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8341 NW 74TH ST, TAMARAC, FL 33321-2736
(617) 799-5325
(954) 657-8702
Mailing address
8341 NW 74TH ST, TAMARAC, FL 33321-2736
(617) 799-5325
(954) 657-8702
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
023467100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023467100
—
FL
Enumeration date
10/22/2018
Last updated
10/22/2018
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