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NPI Code Detail

MEDICARE: DR. CHRISTINE CUEVAS M.D.

MEDICARE: DR. CHRISTINE CUEVAS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianTRN#14714FL
2208000000XPediatrics PhysicianME115487FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
214PR5OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174842660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE CUEVAS M.D.
Provider Business Mailing Address
First Line : PO BOX 44008
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32231-4008
Country : US
Telephone Number : 904-633-0355
Fax Number : 904-633-0341
Provider Business Practice Location Address
First Line : 3122 NEW BERLIN RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-1828
Country : US
Telephone Number : 904-633-0355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2010
Last Update Date : 11/26/2013

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