Brooke Kulp, DO | |
1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 | |
(772) 785-5502 | |
Not Available |
Full Name | Brooke Kulp |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1095 Nw Saint Lucie West Blvd, Port St Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023472792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OS020115 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 1023472792 (Arkansas) | Secondary |
208000000X | Pediatrics | 19272 (Florida) | Primary |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Entity Name | Valley Health Partners Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770118648 PECOS PAC ID: 4284065327 Enrollment ID: O20200505003199 |
Mailing Address | Practice Location Address |
---|---|
Brooke Kulp, DO 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 Ph: (772) 785-5502 | Brooke Kulp, DO 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1719 Ph: (772) 785-5502 |
Georges C. Guerrier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 437 Sw Bethany Dr, Port St Lucie, FL 34986 Phone: 772-344-1775 Fax: 772-344-1786 | |
Dr. Ivanelsie Delgado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 161 Sw Palm Dr Apt 161, Port St Lucie, FL 34986 Phone: 305-726-5502 | |
Miladys Miriam Palau Collazo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9401 Sw Discovery Way Ste 102, Port St Lucie, FL 34987 Phone: 772-834-7362 Fax: 772-618-2024 | |
Dr. Milton M Aponte, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 380 Sw Prima Vista Blvd, Port St Lucie, FL 34983 Phone: 772-785-8989 Fax: 772-785-6164 | |
Jessica Ellen Muoio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd, Suite 105, Port St Lucie, FL 34986 Phone: 772-336-2818 Fax: 772-336-5313 | |
Alison Ardito, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd, 105, Port St Lucie, FL 34986 Phone: 772-336-2818 Fax: 772-336-2818 |