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1538439559
CHACKO NEBU
PORT ST LUCIE, FL
NPI
1538439559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: FL ME 111310)
Enumeration Date
2012-01-06
Last Update Date
2021-07-20
Business Address
Dr. CHACKO NEBU M.D.
7025 OLEANDER AVE
PORT ST LUCIE, FL 34952-9028
Phone number: 609-744-4133
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Mailing Address
Dr. CHACKO NEBU M.D.
8450 S US HIGHWAY 1
PORT ST LUCIE, FL 34952-3306
Phone number: 772-871-0055
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