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1730154790
MARK MATHEW LUCERO
VERO BEACH, FL
NPI
1730154790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9102527)
Enumeration Date
2006-02-22
Last Update Date
2007-07-08
Business Address
Mr. MARK MATHEW LUCERO PA-C
1000 36TH ST
VERO BEACH, FL 32960-4862
Phone number: 772-567-4311
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Mailing Address
Mr. MARK MATHEW LUCERO PA-C
PO BOX 644102
VERO BEACH, FL 32964-4102
Phone number: 772-562-3254
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