Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KETELIE DESRUISSEAUX
Active Sole ProprietorKETELIE DESRUISSEAUX is a Developmental Disabilities Clinic healthcare provider located in GREENACRES, Florida. NPI 1659957108 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · GREENACRES, FL
Registration Details
- NPI Number
- 1659957108
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2021 (5.4068195556676 yrs)
- Last Updated
- Mar 23, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
5700 LAKE WORTH RD STE 106GREENACRES, FL, 334633213Browse FL providers · Browse ZIP 33463
- Phone
- 5614393991
- Fax
- 5614393993
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in GREENACRES, FL
| Name | Credential | NPI |
|---|---|---|
| SANDY ALCE | — | 1699350603 |
| KETHLIE FABIEN CHARLES | — | 1265018865 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.