Dr Jose J Pozo PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME90607 Issued in FL

Legal business name

DR JOSE J POZO PA

Practice address

240 NW Peacock Blvd
Suite 101
Port St Lucie, FL 34986-2274

Phone

(772) 878-5057

Fax

(772) 878-5703

NPI assigned

Oct 17, 2007

Last updated

Nov 8, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jose J Pozo, MDNPI 1508868779

Title

President

Phone

(772) 878-5057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Jorge Pozo, MD

  • Neurology Physician
  • Port St Lucie, FL
  • NPI 1508868779
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1346439114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NW PEACOCK BLVD",
            "address_2": "SUITE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862274",
            "telephone_number": "772-878-5057",
            "fax_number": "772-878-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NW PEACOCK BLVD",
            "address_2": "SUITE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862274",
            "telephone_number": "772-878-5057",
            "fax_number": "772-878-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOSE J POZO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "POZO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-878-5057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME90607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dream Catchers Support Services

• Neurology Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.