person
Dr. Chacko Nebu, MD
General Practice Physician in Port St Lucie, Florida
NPI 1538439559

Chacko Nebu is a General Practice Physician based in Port St Lucie, FL. Chacko Nebu practices in Port St Lucie, FL and has the professional credentials of MD. The NPI Number for Chacko Nebu is 1538439559 and holds a License No. ME 111310 (Florida).

The current practice location address for Chacko Nebu is 7025 Oleander Ave, Port St Lucie, FL and can be reached out via phone at 609-744-4133 and via fax at 772-882-5166.

Location: 7025 Oleander Ave, Port St Lucie, FL, 34952-3306
person
Provider Profile Details
NPI Number
1538439559
Provider Name
Chacko Nebu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7025 Oleander Ave, Port St Lucie, FL, 34952-3306
Phone Number
609-744-4133
Fax Number
772-882-5166
Provider Enumeration Date
01/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004776500 05 FL
institution
Provider Business Practice Location Address Details
Address
7025 Oleander Ave
City
State
Zip
34952-9028
Phone Number
609-744-4133
Fax Number
772-882-5166
person
Provider Business Mailing Address Details
Address
7025 Oleander Ave
City
State
Zip
34952-9028
Phone Number
609-744-4133
Fax Number
772-882-5166
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME 111310 (Florida)
Definition
Definition to come...
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