| Jce Family Medicine Llc | |
|
4640 S 25th St Fort Pierce FL 34981-5057 | |
| (772) 466-8884 | |
| (772) 466-8832 |
| Full Name | Jce Family Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4640 S 25th St, Fort Pierce, Florida |
| Authorized Official Name and Position | Juan Guillermo Coquelet (PRESIDENT) |
| Authorized Official Contact | 7724668884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jce Family Medicine Llc Po Box 13450 Fort Pierce FL 34979-3450 Ph: (772) 466-8884 | Jce Family Medicine Llc 4640 S 25th St Fort Pierce FL 34981-5057 Ph: (772) 466-8884 |
| NPI Number | 1114354032 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114354032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS6690 (Florida) | Primary |
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