David, Jerel C
David, Jerel C is an individual health care provider with primary practice located at 1871 Se Tiffany Ave Ste 100 , Port St Lucie FL 34952-7585. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. David, Jerel C can be contacted via phone (772) 363-5566.Contact Information
Primary practice address
1871 Se Tiffany Ave Ste 100
Port St Lucie FL 34952-7585
Phone: (772) 363-5566
Fax: (772) 335-3781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 010030 | Georgia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME166311 | Florida |
Profile Details
| NPI number | 1457844151 |
|---|---|
| LBN Legal business name | David, Jerel C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2018 |
| Last updated | Jul 29th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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