Organization
JOSE A DE JESUS MD PA
Active
Organization
JOSE A DE JESUS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A. DE JESUS-CARBUCCIA MD (PRESIDENT)
(561) 236-7741
Entity
Organization
Contact information
Practice address
1620 S CONGRESS AVE, SUITE 100, PALM SPRINGS, FL 33461-2128
(850) 561-2032
(561) 968-1046
Mailing address
PO BOX 9668, PENSACOLA, FL 32513-9668
(850) 478-1312
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008LM
FLORIDA BLUE
FL
Enumeration date
12/24/2014
Last updated
02/25/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up