Individual provider · NPI-1

Cassandre Alcemora, APRN

Nurse Practitioner, Family · Port St Lucie, FL

NPI number1255018313
StatusActive
Last updated in NPPESMar 28, 2024

Details

NPI
1255018313
Entity type
Individual (NPI-1)
Name
Cassandre Alcemora
Credential
APRN
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 30, 2023
Certification date
Mar 28, 2024
Last updated
Mar 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11018075FLYes

Practice location

671 Se Port St Lucie Blvd
Port St Lucie, FL 34984-5141

Phone 754-204-6077

Mailing address

1972 Brookside St Ne
Palm Bay, FL 32907

Phone 754-204-6077

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