Search › Florida › 390200000X
J Dedeaux
NPI 1922493840 · on the registry since 2015
Practice
- Address
- 4450 Riverview Pl
Pace, FL 32571 - Phone
- (850) 450-5573
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-30
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida