Marie Addly Cambronne Md Pa | |
1700 Se Hillmoor Dr Port St Lucie FL 34952-7539 | |
(772) 335-4000 | |
Not Available |
Full Name | Marie Addly Cambronne Md Pa |
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Speciality | Psychiatry & Neurology |
Location | 1700 Se Hillmoor Dr, Port St Lucie, Florida |
Authorized Official Name and Position | Marie-addly Cambronne (MD) |
Authorized Official Contact | 7723354000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marie Addly Cambronne Md Pa Po Box 1277 Stuart FL 34995-1277 Ph: (772) 335-4000 | Marie Addly Cambronne Md Pa 1700 Se Hillmoor Dr Port St Lucie FL 34952-7539 Ph: (772) 335-4000 |
NPI Number | 1780916619 |
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Provider Enumeration Date | 02/03/2010 |
Last Update Date | 12/08/2010 |
Medicare PECOS PAC ID | 7517099328 |
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Medicare Enrollment ID | O20100714000588 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780916619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME99143 (Florida) | Primary |
Provider Name | Marie Addly Cambronne |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639372543 PECOS PAC ID: 0345338802 Enrollment ID: I20071116000091 |
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