Provider Demographics
NPI:1568884450
Name:DIPAOLA, JANET
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:DIPAOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5180 FORMOSA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32967
Mailing Address - Country:US
Mailing Address - Phone:203-947-4193
Mailing Address - Fax:
Practice Address - Street 1:4301 N. FEDERAL HIGHWAY
Practice Address - Street 2:SUITE 2 SOUTH
Practice Address - City:POMPANO
Practice Address - State:FL
Practice Address - Zip Code:33064
Practice Address - Country:US
Practice Address - Phone:888-880-9270
Practice Address - Fax:954-342-0273
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist