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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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