Organization
FLORIDA RESPIRATORY-ST LUCIE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ERIC JORDAN (GM/PRESIDENT)
(772) 778-2101
Entity
Organization
Contact information
Practice address
1985 71ST AVE, VERO BEACH, FL 32966-7915
(772) 778-2101
(772) 778-2102
Mailing address
1985 71ST AVE, VERO BEACH, FL 32966-7915
(772) 778-2101
(772) 778-2102
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6082
FL
Other
Enumeration date
07/13/2006
Last updated
01/03/2012
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