Individual provider · Type 1 NPI

Alexis Jose Manfredy Dedos

Student in an Organized Health Care Education/Training Program · Davie, FL

NPI number 1063320240 Active

Practice location

6310 Griffin Rd # 402D
Davie, FL 33314-4424

Call (939) 209-8402 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063320240

Alexis Jose Manfredy Dedos's National Provider Identifier is 1063320240, issued on Aug 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Davie, FL. The record was last updated on Aug 31, 2026.