JOSE G CEVALLOS MD-PA
Agencies at Fox Ct, West Palm Beach, FL

License number
Florida ME114288
Category
Agencies
Type
Early Intervention Provider Agency
Owner
Name: JOSE CEVALLOS M.D
Title: CEO
Phone: (561) 433-8900
Address
Address
1873 Fox Ct, West Palm Beach, FL 33414
National Provider ID: 1649727074
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jose G Cevallos MD-PA

West Palm Beach, FL  -  Holtsville, NY

Registration:
Oct 24, 2012
Addresses:
2242 Balsan Way, West Palm Beach, FL 33414
54 Peachtree Ct, Holtsville, NY 11742
State ID:
P12000089489
Business type:
Domestic for Profit Corporation
Secretary, President:
Jose G. Cevallos (Secretary, President)

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