NPI 1013635259

Monfort Alexandre, CARETAKER

Practitioner Developmentally Disabled Services Day Training Agency Port St Lucie, FL

Practice location

Address: 1762 SE Carvalho St, Port St Lucie, FL 34983-4554
Phone: (772) 577-3861
Fax: (772) 577-3790

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence AL13125 (FL)

Other Day Training, Developmentally Disabled Services providers in Florida →

Registry record

NPI: 1013635259
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2022
Record last updated: 15 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.