Individual
MRS. ESTERCIO ESTIME- CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 AVENUE C, FORT PIERCE, FL 34950-4189
(772) 462-3800
Mailing address
5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 462-3800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079327700
—
FL
Enumeration date
01/14/2015
Last updated
01/14/2015
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