Dr Jacqueline Stephanie De La Cruz, MD | |
9109 S Us Highway 1 Ste 101, Port St Lucie, FL 34952-3453 | |
(772) 398-1305 | |
(772) 398-1307 |
Full Name | Dr Jacqueline Stephanie De La Cruz |
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Gender | Female |
Speciality | General Practice |
Location | 9109 S Us Highway 1 Ste 101, Port St Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467276295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | ACN1719 (Florida) | Primary |
Entity Name | Medical Consultants Of Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619169810 PECOS PAC ID: 6002988847 Enrollment ID: O20080710000450 |
Mailing Address | Practice Location Address |
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Dr Jacqueline Stephanie De La Cruz, MD 2910 Nw Treviso Cir, Port Saint Lucie, FL 34986-6308 Ph: () - | Dr Jacqueline Stephanie De La Cruz, MD 9109 S Us Highway 1 Ste 101, Port St Lucie, FL 34952-3453 Ph: (772) 398-1305 |
Regine Dorvil, MD General Practice Medicare: Medicare Enrolled Practice Location: 671 Se Port St Lucie Blvd, Port St Lucie, FL 34984 Phone: 772-353-5716 Fax: 844-367-0091 | |
Debbie Michelle Sevilla, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL 34983 Phone: 772-905-2555 Fax: 772-336-8153 | |
Dr. John R Collins, D.O, General Practice Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Brittany Nobilette, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Jorge Manuel Gomez Vizcarra, MD General Practice Medicare: Medicare Enrolled Practice Location: 1100 Sw Saint Lucie West Blvd Ste 209, Port St Lucie, FL 34986 Phone: 772-204-8889 Fax: 772-204-8895 | |
Dr. Chacko Nebu, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 7025 Oleander Ave, Port St Lucie, FL 34952 Phone: 609-744-4133 Fax: 772-882-5166 |