Jackeline D Briceno in Stuart - Specialist
Jackeline D Briceno - NPI 1619043684
Jackeline D Briceno is a Specialist in Stuart, Florida. Jackeline D Briceno practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jackeline D Briceno is 1619043684. The last update date is 2019-01-31.
Jackeline D Briceno's current location address is 2221 Se Ocean Blvd, Stuart, Florida. You can contact this provider via phone number 7722834428 and fax number 7722880192. The mailing address for Jackeline D Briceno is 2221 Se Ocean Blvd, Stuart, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackeline D Briceno |
|---|---|
| Address | 2221 Se Ocean Blvd, Stuart, Florida |
| Phone Number | 7722834428 |
| Fax Number | 7722880192 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619043684 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2019-01-31 |
Provider Mailing Address Detail
| Address | 2221 Se Ocean Blvd |
|---|---|
| City | Stuart |
| State | Florida (FL) |
| Post Code | 349963341 |
| Phone Number | 7722834428 |
| Fax Number | 7722880192 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME75870 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Jackeline D Briceno's unique identification number?
The Jackeline D Briceno has been assigned the NPI (National Provider Identifier) Number 1619043684 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jackeline D Briceno?
The Jackeline D Briceno is physically situated at 2221 Se Ocean Blvd, in the city of Stuart, state of FL, with the postal code 349963341.
What is Jackeline D Briceno's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jackeline D Briceno's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619043684 to Jackeline D Briceno?
The Centers for Medicare & Medicaid Services assigned the 1619043684 to Jackeline D Briceno on 2006-11-28.
As of what date were the details related to Jackeline D Briceno most recently updated or revised?
The information pertaining to Jackeline D Briceno, including its address, specialty, and other relevant details, was last updated or revised on 2019-01-31.