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Lucille A Vandevere, Llc
Health Service Clinic/Center in Port St Lucie, Florida
NPI 1649466384

Lucille A Vandevere, Llc is a Health Service Clinic/Center based in Fort Pierce, FL and is specialized in Health Service. Lucille A Vandevere, Llc practices in Port St Lucie, FL. The NPI Number for Lucille A Vandevere, Llc is 1649466384 and holds a License No. ARNP3283142 (Florida).

The current practice location address for Lucille A Vandevere, Llc is 6989 Hancock Dr, Port St Lucie, FL and can be reached out via phone at 772-252-4130 and via fax at 772-672-4089.

Location: 6989 Hancock Dr, Port St Lucie, FL, 34979-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649466384
Provider Name
Lucille A Vandevere, Llc
Credential
Provider Entity Type
Organization
Address
6989 Hancock Dr, Port St Lucie, FL, 34979-3300
Phone Number
772-252-4130
Fax Number
772-672-4089
Provider Enumeration Date
09/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6989 Hancock Dr
City
Port St Lucie
State
Florida
Zip
34952-8207
Phone Number
772-252-4130
Fax Number
772-672-4089
person
Provider Business Mailing Address Details
Address
6989 Hancock Dr
City
Port St Lucie
State
Florida
Zip
34952-8207
Phone Number
772-252-4130
Fax Number
772-672-4089
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
ARNP3283142 (Florida)
Definition
Definition to come...
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