Individual
DANIEL DESIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 BROADWAY, WEST PALM BEACH, FL 33407-4844
(855) 888-3247
Mailing address
2360 CENTER STONE LN, RIVIERA BEACH, FL 33404-1828
(561) 714-6760
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2013
Last updated
07/27/2013
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