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Organization
OBCT MD
Active
Organization
OBCT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCERO CECILIA CHUECA VILLA MD, FACP (MANAGER)
(313) 515-0710
Entity
Organization
Contact information
Practice address
125 W INDIANTOWN RD STE 203B, JUPITER, FL 33458-3539
(313) 515-0710
(888) 494-2192
Mailing address
125 W INDIANTOWN RD STE 203B, JUPITER, FL 33458-3539
(313) 515-0710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
09/07/2023
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