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NPI Code Detail

MEDICARE: JESSE CUEVAS

MEDICARE:   JESSE  CUEVAS
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
12086S0127XTrauma Surgery PhysicianRN9535048FL

General Provider Information

NPI Number : 1619831609
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSE CUEVAS
Provider Business Mailing Address
First Line : 4626 HIGHLANDS PLACE DR
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4626 HIGHLANDS PLACE DR
Second Line :
City : LAKELAND
State : FL
Zip : 33813-2120
Country : US
Telephone Number : 863-899-9468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ JESSE CUEVAS ” Practice Location

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