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MARIA DEFATIMA POZUELO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1651 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7564
(772) 223-4978
(772) 345-1815
Mailing address
1651 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7564
(772) 226-4978
(772) 945-1815

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
35072078
OH
207RP1001X
Pulmonary Disease Physician
Primary
ME155490
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000369587
ANTHEM BC/BS
OH
01
202394952027
CARESOURCE
OH
05
2330561
OH
01
352693
WELLCARE
OH
01
ME155490
ANTHEM BC/BS
FL
05
ME155490
FL
01
P00224699
RAILROAD CARE
OH
01
R72078
AUMMA/APEX
OH
Enumeration date
05/28/2006
Last updated
05/01/2023
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