Individual
DR. JUAN C. PELAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 NW FEDERAL HWY, STUART, FL 34994-9629
(772) 878-5858
(772) 692-2480
Mailing address
1615 NW FEDERAL HWY, STUART, FL 34994-9629
(772) 878-5858
(772) 692-2480
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0034724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265438500
—
FL
01
—
V2628
BCBS PROVIDER #
FL
Enumeration date
04/19/2007
Last updated
02/26/2014
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