Dance, Vanessa Dejesus

Dance, Vanessa Dejesus is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy , Cocoa Beach FL 32931-3577. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dance, Vanessa Dejesus can be contacted via phone (321) 868-8364.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Cocoa Beach FL 32931-3577
Phone: (321) 868-8364
Fax: (321) 868-8372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME76195 Florida

Profile Details

NPI number 1699775320
LBN Legal business name Dance, Vanessa Dejesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated May 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699775320 NPPES
Florida Other 82042Y MEDICARE
Florida MEDICAID 268315600 MEDICARE

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