Pob Associates, Pl | |
1657 Se Port St Lucie Blvd Port St Lucie FL 34952-5428 | |
(772) 337-4115 | |
(772) 337-4116 |
Full Name | Pob Associates, Pl |
---|---|
Speciality | Dentist - General Practice |
Location | 1657 Se Port St Lucie Blvd, Port St Lucie, Florida |
Authorized Official Name and Position | Thomas Michael Hickey (OWNER) |
Authorized Official Contact | 7723598962 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pob Associates, Pl 1010 Se Kitching Cove Ln Port St Lucie FL 34952-5902 Ph: (772) 359-8962 | Pob Associates, Pl 1657 Se Port St Lucie Blvd Port St Lucie FL 34952-5428 Ph: (772) 337-4115 |
NPI Number | 1619248697 |
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Provider Enumeration Date | 01/23/2012 |
Last Update Date | 01/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619248697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN1997 (Florida) | Primary |
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