DR. CHACKO NEBU


Address: 2401 Frist Boulevard, Suite One, Fort Pierce, FL 34950
Phone: 7724640033

DR. CHACKO NEBU (NPI# 1538439559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538439559
Entity Type Individual
Full Name DR. CHACKO NEBU
Credential M.D.
Practice Address 2401 Frist Boulevard
Suite One
Fort Pierce
FL 34950
Mailing Address 2401 First Boulevard, Suite One
Internal Medicine Consultants
Fort Pierce
FL 34950
Practice Telephone 7724640033
Practice Fax Number 7724671150
Mailing Telephone 7724640033
Mailing Fax Number 7724671150
Enumeration Date 2012-01-06
Last Update Date 2012-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice ME 111310 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 2401 FRIST BOULEVARD
SUITE ONE
City FORT PIERCE
State FL
Zip Code 34950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255412441 Robert Francis Basilico Dermatology 2401 Frist Boulevard, Suite 2, Fort Pierce, FL 34950 2006-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1548749351 Jaber's Pharmacy, Inc. Pharmacy 2210 Orange Ave, Fort Pierce, FL 34950 2018-08-13
1386139699 Pas Substance Abuse, Inc. Substance Abuse Rehabilitation Facility 2017 Avenue D, Fort Pierce, FL 34950 2018-06-28
1629573134 Southeastern Dme LLC Durable Medical Equipment & Medical Supplies 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 2018-03-27
1962903666 Serenity Dme LLC Durable Medical Equipment & Medical Supplies 111 N 2nd St Ste 101, Fort Pierce, FL 34950 2018-02-27
1417463068 Ryan Nippes Counselor 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1639685282 Valencia Worrell Counselor 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 2017-12-19
1194173153 Angel French Massage Therapist 101 North Us1, Suite 117, Fort Pierce, FL 34950 2016-06-01
1780052951 Alison Hess Physician Assistant 1700 S. 23rd St, Fort Pierce, FL 34950 2015-09-04
1629329784 Dr. Rhaina A Smeds, Psyd Inc. Psychologist 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 2012-09-28
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396166252 M Care Medical Center Inc. General Practice 850 S 21st St, Suite B, Fort Pierce, FL 34950-4893 2013-12-19
1922363043 Stanley Pala General Practice 4180 N Hwy A1a, #505, Fort Pierce, FL 34949-8380 2012-07-05
1538427984 Eavans Duroseau General Practice 506 N 7th St, Fort Pierce, FL 34950-8228 2012-04-23
1104031061 Kendis Archer General Practice 1506 Barcelona Ave, Fort Pierce, FL 34946 2007-05-14
1679665814 Juan D. Maldonado General Practice 1404 S 28th St, Fort Pierce, FL 34947-6999 2006-09-28
1396171633 Sarang Hadaegh General Practice 1505 Delaware Ave, Fort Pierce, FL 34950-3975 2013-09-18
1861788036 Tj Medical LLC General Practice 1905 S 25th St, Suite 100, Fort Pierce, FL 34947-4739 2011-06-25
1316233588 Fp Medical General Practice 1905 S 25th St, Suite 100, Fort Pierce, FL 34947-4739 2011-06-25
1952547721 Guillermo G Coquelet General Practice 4640 S 25th St, Fort Pierce, FL 34981-5057 2008-12-30
1184753758 Fort Pierce Intermediate Care Center General Practice 900 Virginia Ave, Suite 10, Fort Pierce, FL 34982-5882 2007-03-02
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Competitor

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City FORT PIERCE
Zip Code 34950

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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