Provider Demographics
NPI:1023293040
Name:DEJESSE, NATALIE CIMA (DC)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:CIMA
Last Name:DEJESSE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:JEAN
Other - Last Name:CIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:10800 N MILITARY TRL STE 111
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6527
Mailing Address - Country:US
Mailing Address - Phone:561-775-9111
Mailing Address - Fax:
Practice Address - Street 1:10800 N MILITARY TRL STE 111
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6527
Practice Address - Country:US
Practice Address - Phone:617-759-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor