JUAN C BIRD

PORT ST LUCIE, FL
NPI1669606109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: FL  ME133140)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PR  18180)
207RG0100X Internal Medicine, Gastroenterology
(Licence: DC  MD043743)
Enumeration Date2009-05-13
Last Update Date2020-10-14
Business Address
Dr. JUAN C BIRD MD
10080 SW INNOVATION WAY STE 201
PORT ST LUCIE, FL 34987-2129
Phone number: 772-283-9111
Mailing Address
Dr. JUAN C BIRD MD
PO BOX 417
STUART, FL 34995-0417
Phone number: 772-223-2832