Richard A Dube Md Inc. | |
2854 Se Federal Hwy Stuart FL 34994-5738 | |
(772) 223-0953 | |
(772) 223-0987 |
Full Name | Richard A Dube Md Inc. |
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Speciality | Clinic/Center |
Location | 2854 Se Federal Hwy, Stuart, Florida |
Authorized Official Name and Position | Richard A Dube (PRESIDENT) |
Authorized Official Contact | 7722230953 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Richard A Dube Md Inc. 2854 Se Federal Hwy Stuart FL 34994-5738 Ph: (772) 223-0953 | Richard A Dube Md Inc. 2854 Se Federal Hwy Stuart FL 34994-5738 Ph: (772) 223-0953 |
NPI Number | 1265714497 |
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Provider Enumeration Date | 09/14/2011 |
Last Update Date | 09/14/2011 |
Medicare PECOS PAC ID | 4284806951 |
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Medicare Enrollment ID | O20111003000328 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265714497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Richard A Dube |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1356360606 PECOS PAC ID: 7911008743 Enrollment ID: I20070724000566 |
Provider Name | Hillary Clair Morris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790971356 PECOS PAC ID: 6608940770 Enrollment ID: I20080807000296 |
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