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J Dedeaux
Student in an Organized Health Care Education/Training Program in Pace, Florida
NPI 1922493840

J Dedeaux is a Student in an Organized Health Care Education/Training Program based in Pace, FL. J Dedeaux practices in Pace, FL. The NPI Number for J Dedeaux is 1922493840 and holds a License No. S10736 (Florida).

The current practice location address for J Dedeaux is 4450 Riverview Pl, Pace, FL and can be reached out via phone at 850-450-5573.

Location: 4450 Riverview Pl, Pace, FL, 32571-8934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922493840
Provider Name
J Dedeaux
Credential
Provider Entity Type
Individual
Gender
Male
Address
4450 Riverview Pl, Pace, FL, 32571-8934
Phone Number
850-450-5573
Fax Number
Provider Enumeration Date
03/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4450 Riverview Pl
City
Pace
State
Florida
Zip
32571-8934
Phone Number
850-450-5573
Fax Number
person
Provider Business Mailing Address Details
Address
4450 Riverview Pl
City
Pace
State
Florida
Zip
32571-8934
Phone Number
850-450-5573
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S10736 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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