Renato R Alcalde Md Abpn Llc | |
1881 Se Port St Lucie Blvd Port St Lucie FL 34952 | |
(772) 398-3237 | |
(772) 335-4734 |
Full Name | Renato R Alcalde Md Abpn Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1881 Se Port St Lucie Blvd, Port St Lucie, Florida |
Authorized Official Name and Position | Renato R Alcalde (MANAGER OWNER) |
Authorized Official Contact | 7723983237 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Renato R Alcalde Md Abpn Llc Po Box 880746 Port St Lucie FL 34988 Ph: (772) 398-3237 | Renato R Alcalde Md Abpn Llc 1881 Se Port St Lucie Blvd Port St Lucie FL 34952 Ph: (772) 398-3237 |
NPI Number | 1902986573 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 09/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902986573 | NPI | - | NPPES |
P00218464 | Other | FL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME30161 (Florida) | Primary |
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