Individual
ALIX DUCLERVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 WATERWAY VILLAGE CT, GREENACRES, FL 33413-2163
(561) 727-6458
Mailing address
244 WATERWAY VILLAGE CT., GREENACRES, FL 33413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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