Individual
MICHAEL NOELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
554 NW KILPATRICK AVE, PORT SAINT LUCIE, FL 34983-8719
(772) 301-5499
Mailing address
5055 SE PRIMROSE WAY, STUART, FL 34997-8059
(772) 301-5499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13280
FL
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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