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Organization

ST LUCIE GENERAL SURGERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICKEY PICKLER (VP)
(772) 335-7606
Entity
Organization

Contact information

Practice address
1700 SE HILLMOOR DR, SUITE 503, PORT ST LUCIE, FL 34952-7539
(772) 335-7606
Mailing address
1700 SE HILLMOOR DR, SUITE 503, PORT ST LUCIE, FL 34952-7539
(772) 335-7606

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
10/19/2006
Last updated
08/27/2007
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