De Jesus, Michael Roy

De Jesus, Michael Roy is an sole proprietor health care provider with primary practice located at 1381 S Patrick Dr , Patrick Air Force Base FL 32925-3606. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. De Jesus, Michael Roy can be contacted via phone (321) 494-0933.

Contact Information

Primary practice address
1381 S Patrick Dr Patrick Air Force Base FL 32925-3606
Phone: (321) 494-0933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP134221 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN002635 Nevada

Profile Details

NPI number 1134647035
LBN Legal business name De Jesus, Michael Roy
Credentials DNP, APRN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2017
Last updated Oct 14th, 2020 - about 4 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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