person
Mr. Mark Mathew Lucero, PA-C
Surgical Physician Assistant in Vero Beach, Florida
NPI 1730154790

Mark Mathew Lucero is a Surgical Physician Assistant based in Vero Beach, FL and is specialized in Surgical. Mark Mathew Lucero practices in Vero Beach, FL and has the professional credentials of PA-C. The NPI Number for Mark Mathew Lucero is 1730154790 and holds a License No. PA9102527 (Florida).

The current practice location address for Mark Mathew Lucero is 1000 36Th St, Vero Beach, FL and can be reached out via phone at 772-567-4311.

Location: 1000 36Th St, Vero Beach, FL, 32964-4102
person
Provider Profile Details
NPI Number
1730154790
Provider Name
Mark Mathew Lucero
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1000 36Th St, Vero Beach, FL, 32964-4102
Phone Number
772-567-4311
Fax Number
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00253782 01 FL RR MEDICARE
X1617 01 FL BLUE CROSS
291673800 05 FL
institution
Provider Business Practice Location Address Details
Address
1000 36Th St
City
State
Zip
32960-4862
Phone Number
772-567-4311
Fax Number
person
Provider Business Mailing Address Details
Address
1000 36Th St
City
State
Zip
32960-4862
Phone Number
772-567-4311
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9102527 (Florida)
Definition
Definition to come...
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