Berlie Placide is a Medical in Port St Lucie, Florida. Berlie Placide practices all healthcare services and medical treatments related to Medical. The NPI Number for Berlie Placide is 1770621021. The last update date is 2020-10-09.
Berlie Placide's current location address is 1095 Nw Saint Lucie West Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7727855570 and fax number 7727855553. The mailing address for Berlie Placide is 1095 Nw Saint Lucie West Blvd, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Berlie Placide |
|---|---|
| Address | 1095 Nw Saint Lucie West Blvd, Port St Lucie, Florida |
| Phone Number | 7727855570 |
| Fax Number | 7727855553 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1770621021 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2020-10-09 |
Provider Mailing Address Detail
| Address | 1095 Nw Saint Lucie West Blvd |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 3498617190 |
| Phone Number | 7727855570 |
| Fax Number | 7727855553 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9103128 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y04SA | FL | FLORIDA BLUE | |
| 2296200 | FL | -- |
Post Comment/ Review Below
What is the Berlie Placide's unique identification number?
The Berlie Placide has been assigned the NPI (National Provider Identifier) Number 1770621021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Berlie Placide?
The Berlie Placide is situated at 1095 Nw Saint Lucie West Blvd, in the city of Port St Lucie, state of FL, with the zip code 3498617190.
What is Berlie Placide's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Berlie Placide is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
When did the Berlie Placide receive its 1770621021?
The Berlie Placide was issued its 1770621021 on 2007-02-01, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Berlie Placide most recently updated or revised?
The details related to Berlie Placide, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-09.
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