Whalio Doctors

NPI 1902281884

Fransise Derezil

Practitioner Nursing Home Administrator Port St Lucie, FL

Practice location

Address
256 SW Moselle Ave, Port St Lucie, FL 34984-5028
Phone
(718) 838-4313
Fax
(772) 237-2234

Registered specialties (2)

Nursing Home Administrator Primary
Nursing Service Related Providers Taxonomy 376G00000X Licence AL12659 (FL)
Home Health Aide
Nursing Service Related Providers Taxonomy 374U00000X Licence AL12659 (FL)

Registry record

NPI
1902281884
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Jul 2015
Record last updated
21 Jul 2015

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.