Lucita M Clersaint Dpm P A | |
58 Ne 167th St, Miami, FL 33162-3401 | |
(305) 944-1610 | |
(305) 944-1670 |
Full Name | Lucita M Clersaint Dpm P A |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 58 Ne 167th St, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033395645 | NPI | - | NPPES |
390479200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO2776 (Florida) | Primary |
Provider Name | Lucita M Clersaint |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1174599526 PECOS PAC ID: 1557337714 Enrollment ID: I20040908001413 |
Mailing Address | Practice Location Address |
---|---|
Lucita M Clersaint Dpm P A Po Box 277955, Miramar, FL 33027-7955 Ph: (305) 944-1610 | Lucita M Clersaint Dpm P A 58 Ne 167th St, Miami, FL 33162-3401 Ph: (305) 944-1610 |
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