Johanna Marisol Dejesus
MD | Pediatrics | Female
Johanna Marisol Dejesus, MD is a Vero Beach, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Johanna Marisol Dejesus is
981 37th Pl, Vero Beach, Florida - 32960-6541. She can be contacted on phone at
772-257-5785 and fax number 772-257-5325.
Johanna Marisol Dejesus is a sole proprietor of her business.
NPI number (Unique professional ID) for Johanna Marisol Dejesus is
1114346079 which was assigned by NPPES on 08 Apr, 2014 and it was last updated on 04 Jan, 2021.
Johanna Marisol Dejesus license number is
ME131833 for Pediatrics (208000000X) in Florida.
Johanna Marisol Dejesus is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Johanna Marisol Dejesus basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Johanna Marisol Dejesus |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Johanna Marisol Dejesus address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 981 37th Pl
Vero Beach, FL, 32960-6541
United States |
|---|
| Phone Number : | 772-257-5785 |
|---|
| Fax Number : | 772-257-5325 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114346079 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 08 Apr, 2014 |
|---|
| Last Updated On : | 04 Jan, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Johanna Marisol Dejesus are as mentioned. Primary taxonomy code for Johanna Marisol Dejesus, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME131833 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Johanna Marisol Dejesus such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 021558800 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
725 N US HIGHWAY 1,
FORT PIERCE, FL, 34950-9125
United States | FORT PIERCE, FL | 772-468-9900 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 827 18th St
Vero Beach, FL, 32960-6481
United States |
|---|
| Phone Number : | 772-925-8190 |
|---|
| Fax Number : | 772-925-8199 |
|---|
Business Location:
Patients can refer following map for directions to
Johanna Marisol Dejesus practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.