Monica Moore Jackman in Port St Lucie - Pediatrics
Monica Moore Jackman - NPI 1942499272
Monica Moore Jackman is a Pediatrics in Port St Lucie, Florida. Monica Moore Jackman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Monica Moore Jackman is 1942499272. The last update date is 2014-01-03.
Monica Moore Jackman's current location address is 600 Sw Darwin Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7729058761 and fax number 7729058782. The mailing address for Monica Moore Jackman is 600 Sw Darwin Blvd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monica Moore Jackman |
|---|---|
| Address | 600 Sw Darwin Blvd, Port St Lucie, Florida |
| Phone Number | 7729058761 |
| Fax Number | 7729058782 |
| Sole Proprietor | Y |
| Credentials | OTD, MHS, |
NPI Number Detail
| NPI Number | 1942499272 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2014-01-03 |
Provider Mailing Address Detail
| Address | 600 Sw Darwin Blvd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349533365 |
| Phone Number | 7729058761 |
| Fax Number | 7729058782 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OT9381 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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What is the unique identification code assigned to Monica Moore Jackman by the Centers for Medicare & Medicaid Services?
The Monica Moore Jackman has been issued the NPI (National Provider Identifier) 1942499272. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Monica Moore Jackman's facilities are situated?
The facilities of Monica Moore Jackman are physically located at the following address: 600 Sw Darwin Blvd, Port St Lucie, FL, 349533365.
What is Monica Moore Jackman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Monica Moore Jackman is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 225Xp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1942499272 to Monica Moore Jackman?
The Centers for Medicare & Medicaid Services originally issued the 1942499272 to Monica Moore Jackman on 2007-10-23.
As of what date were the Monica Moore Jackman's details last updated?
The information pertaining to the Monica Moore Jackman, including its address, specialty, and other details, was most recently updated on 2014-01-03.