Bracero, Marcos Alfonso

Bracero, Marcos Alfonso is an individual health care provider with primary practice located at 5150 Nw Milner Dr , Port St Lucie FL 34983-3392. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Bracero, Marcos Alfonso can be contacted via phone (772) 873-4954.

Contact Information

Primary practice address
5150 Nw Milner Dr Port St Lucie FL 34983-3392
Phone: (772) 873-4954
Fax: (772) 873-4954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9191326 Florida

Profile Details

NPI number 1992022602
LBN Legal business name Bracero, Marcos Alfonso
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2010
Last updated Apr 10th, 2015 - about 10 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 1992022602 NPPES
Florida MEDICAID 004715200
Florida Other ARNP9191326

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