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Juan M Escobar, M.D.

Internal Medicine in Port St Lucie, FL. Individual provider (NPI-1).

NPI number1194771386
StatusActive
Last updated in NPPESJan 14, 2010

Details

NPI
1194771386
Entity type
Individual (NPI-1)
Name
Juan M Escobar
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
May 26, 2006
Last updated
Jan 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine81753MAYes

Practice location

7664 S Us Highway 1
Port St Lucie, FL 34952-2320

Phone 772-879-0699 · Fax 772-879-6650

Mailing address

7664 S Us Highway 1
Port St Lucie, FL 34952-2320

Phone 772-879-0699 · Fax 772-879-6650

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