Pozuelo, Maria Defatima

Pozuelo, Maria Defatima is an sole proprietor health care provider with primary practice located at 1651 Se Tiffany Ave , Port Saint Lucie FL 34952-7564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Pozuelo, Maria Defatima can be contacted via phone (772) 223-4978.

Contact Information

Primary practice address
1651 Se Tiffany Ave Port Saint Lucie FL 34952-7564
Phone: (772) 223-4978
Fax: (772) 345-1815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35072078 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME155490 Florida

Profile Details

NPI number 1285681999
LBN Legal business name Pozuelo, Maria Defatima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2006
Last updated May 1st, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285681999 NPPES
Florida Other ME155490 ANTHEM BC/BS
Florida Other 352693 ANTHEM BC/BS
Florida Other R72078 ANTHEM BC/BS
Florida MEDICAID 2330561 ANTHEM BC/BS
Florida MEDICAID ME155490 ANTHEM BC/BS
Florida Other P00224699 ANTHEM BC/BS
Florida Other 000000369587 ANTHEM BC/BS
Florida Other 202394952027 ANTHEM BC/BS

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