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1992552095
LUCIA CABANELA MACIAS
PORT ST LUCIE, FL
NPI
1992552095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL 9118795)
Enumeration Date
2024-05-06
Last Update Date
2024-07-02
Business Address
Mrs. LUCIA CABANELA MACIAS PA-C
160 NW CENTRAL PARK PLZ STE 105
PORT ST LUCIE, FL 34986-1825
Phone number: 772-303-1987
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Mailing Address
Mrs. LUCIA CABANELA MACIAS PA-C
1503 YOSEMITE CT
FORT PIERCE, FL 34982-5771
Phone number: 772-361-5183
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