| Cd Medical Group Llc | |
|
3537 Sw Princeton St Port St Lucie FL 34953-3726 | |
| (561) 891-8985 | |
| Not Available |
| Full Name | Cd Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3537 Sw Princeton St, Port St Lucie, Florida |
| Authorized Official Name and Position | Carianne Dennis (OWNER) |
| Authorized Official Contact | 5618918985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cd Medical Group Llc 3537 Sw Princeton St Port St Lucie FL 34953-3726 Ph: (561) 891-8985 | Cd Medical Group Llc 3537 Sw Princeton St Port St Lucie FL 34953-3726 Ph: (561) 891-8985 |
| NPI Number | 1821723149 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821723149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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