Organization
LUCITA M CLERSAINT DPM P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCITA M CLERSAINT DPM (PRESIDENT)
(305) 944-1610
Entity
Organization
Contact information
Practice address
58 NE 167TH ST, MIAMI, FL 33162-3401
(305) 944-1610
(305) 944-1670
Mailing address
PO BOX 277955, MIRAMAR, FL 33027-7955
(305) 944-1610
(305) 944-1670
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390479200
—
FL
Enumeration date
01/14/2008
Last updated
08/04/2008
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