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Organization
JC PHYSICIAN ASSOCIATES PLLC
Active
Organization
JC PHYSICIAN ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RUEDA MD (MANAGER)
(305) 972-5299
Entity
Organization
Contact information
Practice address
3319 S STATE ROAD 7 STE 105, WELLINGTON, FL 33449-8099
(561) 557-3115
(561) 425-5147
Mailing address
3319 S STATE ROAD 7 STE 105, WELLINGTON, FL 33449-8099
(561) 557-3115
(561) 425-5147
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
NULL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
NULL
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Enumeration date
02/05/2019
Last updated
10/09/2019
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