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Contact Information

JUAN C BIRD, MD
10080 SW INNOVATION WAY STE 201
PORT SAINT LUCIE, FL34987-2129
 Phone: 772-283-9111
 Fax: 772-283-2955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JUAN C BIRD · (Male)

NPI # 1669606109
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2009
Last updated 10/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD043743
  • FL License # ME133140
  • PR License # 18180
  • FL Other IEUU3 FLORIDA BLUE
Hospital affiliation(s)
  • CLEVELAND CLINIC HOSPITAL - (Acute Care)
    3100 WESTON RD
    WESTON, FL 33331
  • INDIAN RIVER MEDICAL CENTER - (Acute Care)
    1000 36TH ST
    VERO BEACH, FL 32960
  • MARTIN MEMORIAL MEDICAL CENTER - (Acute Care)
    200 SE HOSPITAL AVE
    STUART, FL 34995
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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