Individual provider · NPI-1

Dr. Jose Jorge Pozo, MD

Psychiatry & Neurology, Neurology · Port St Lucie, FL

NPI number1508868779
StatusActive
Last updated in NPPESDec 3, 2012

Details

NPI
1508868779
Entity type
Individual (NPI-1)
Name
Dr. Jose Jorge Pozo
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 1, 2005
Last updated
Dec 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyME90607FLYes

Practice location

240 Nw Peacock Blvd
Suite 101
Port St Lucie, FL 34986-2274

Phone 772-878-5057 · Fax 772-878-5703

Mailing address

240 Nw Peacock Blvd
Suite 101
Port St Lucie, FL 34986-2274

Phone 772-878-5057 · Fax 772-878-5703

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