JOSE J DERGAN P. A

DORAL, FL
NPI1063714178
Entity TypeOrganization
Authorized ContactLOURDES DERGAN
Manager
305-599-1970
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
(Licence: FL  PY4206)
Enumeration Date2010-11-22
Last Update Date2011-05-24
Business Address
JOSE J DERGAN P. A
8249 NW 36TH ST STE 100
DORAL, FL 33166-6673
Phone number: 305-599-1970
Mailing Address
JOSE J DERGAN P. A
8249 NW 36TH ST STE 100
DORAL, FL 33166-6673
Phone number: 305-599-1970
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