| Dr Jose J Pozo Pa | |
|
240 Nw Peacock Blvd Suite 101 Port St Lucie FL 34986-2274 | |
| (772) 878-5057 | |
| (772) 878-5703 |
| Full Name | Dr Jose J Pozo Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 240 Nw Peacock Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Jose J Pozo (PRESIDENT) |
| Authorized Official Contact | 7728785057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jose J Pozo Pa 240 Nw Peacock Blvd Suite 101 Port St Lucie FL 34986-2274 Ph: (772) 878-5057 | Dr Jose J Pozo Pa 240 Nw Peacock Blvd Suite 101 Port St Lucie FL 34986-2274 Ph: (772) 878-5057 |
| NPI Number | 1346439114 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 11/08/2010 |
| Medicare PECOS PAC ID | 4981677283 |
|---|---|
| Medicare Enrollment ID | O20040816000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346439114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME90607 (Florida) | Primary |
| Provider Name | Jose J Pozo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508868779 PECOS PAC ID: 1153394457 Enrollment ID: I20040817000308 |
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