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Organization
INTERNAL MEDICINE CONSULTANTS OF SAINT LUCIE COUNTY LLC
Active
Organization
INTERNAL MEDICINE CONSULTANTS OF SAINT LUCIE COUNTY LLC
Active
Parent organization
ANUM CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANUM CORPORATION
Authorized official
MRS. NAHEED SHAREEF (OWNER)
(772) 464-0033
Entity
Organization
Contact information
Practice address
2401 FRIST BLVD, SUITE 1, FORT PIERCE, FL 34950-4839
(772) 464-0033
(772) 467-1150
Mailing address
2401 FRIST BLVD, SUITE 1, FORT PIERCE, FL 34950-4839
(772) 464-0033
(772) 467-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378187900
—
FL
Enumeration date
11/04/2005
Last updated
09/05/2012
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