Individual
DR. DANIELLE DESVALLONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9333 SW 152ND ST, VILLAGE OF PALMETTO BAY, FL 33157-1778
(305) 256-5001
Mailing address
7505 SW 173RD ST, VILLAGE OF PALMETTO BAY, FL 33157-4838
(305) 232-5451
(305) 232-5401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME65786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375-1643-00
—
FL
Enumeration date
08/02/2006
Last updated
07/08/2007
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