Individual
JUDE DANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6363 WILSHIRE BLVD STE 516, LOS ANGELES, CA 90048-5726
(561) 543-3096
Mailing address
4904 MESSANA TER, LAKE WORTH, FL 33463-7291
(561) 543-3096
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
9541-PA-C
AZ
207R00000X
Internal Medicine Physician
9541-PA-C
AZ
363AM0700X
Medical Physician Assistant
Primary
9541-PA-C
AZ
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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