Individual
CASSANDRE ALCEMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
671 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5141
(754) 204-6077
Mailing address
1972 BROOKSIDE ST NE, PALM BAY, FL 32907
(754) 204-6077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11018075
FL
Other
Enumeration date
06/30/2023
Last updated
03/28/2024
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