Individual
DR. JEREL C DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1871 SE TIFFANY AVE STE 100, PORT ST LUCIE, FL 34952-7585
(772) 363-5566
(772) 335-3781
Mailing address
1871 SE TIFFANY AVE STE 100, PORT ST LUCIE, FL 34952-7585
(772) 408-5151
(772) 335-3781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
010030
GA
207RH0003X
Hematology & Oncology Physician
Primary
ME166311
FL
Other
Enumeration date
06/07/2018
Last updated
07/29/2024
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