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Organization

JC PHYSICIAN ASSOCIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN RUEDA MD (MANAGER)
(305) 972-5299
Entity
Organization

Contact information

Practice address
3319 S STATE ROAD 7 STE 105, WELLINGTON, FL 33449-8099
(561) 557-3115
(561) 425-5147
Mailing address
3319 S STATE ROAD 7 STE 105, WELLINGTON, FL 33449-8099
(561) 557-3115
(561) 425-5147

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
2086S0105X
Surgery of the Hand (Surgery) Physician

Other

Enumeration date
02/05/2019
Last updated
10/09/2019
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