Juan Luis Castro Cordoba Psychiatry
2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-2845


Juan Luis Castro Cordoba is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1003002106. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1557412756. The primary specialty is PSYCHIATRY. The organization is LEGACY BEHAVIORAL HEALTH CENTER INC. The address is 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-2845. The zip code is 34953.


Juan Luis Castro Cordoba · 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-2845

Nation Provider ID 1003002106
PAC ID by PECOS 1557412756
Professional Enrollment ID I20170413000764
Last Name CASTRO CORDOBA
First Name JUAN LUIS
Gender M
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PSYCHIATRY
Primary Specialty LEGACY BEHAVIORAL HEALTH CENTER INC
Phone Number 7728738811
Group Practice PAC ID 3072677756
Number of Group Practice Members 7
Address 2632 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 349532845
Professional accepts Medicare Assignment Y

Legacy Behavioral Health Center Inc · Medicare Physician

Name Address Specialty
Aimee Tischuk 2640 Forest Hill Blvd, West Palm Beach, FL 33406-5931 PSYCHIATRY
James Wirth 304 Nw 5th St, Okeechobee, FL 34972-2565 PSYCHIATRY
Antonio Larranaga 304 Nw 5th St, Okeechobee, FL 34972-2565 PSYCHIATRY
Ana Suarez 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-2845 PSYCHIATRY
Cleopatra Ortiz 304 Nw 5th St, Okeechobee, FL 34972-2565 PSYCHIATRY
Leah Scott 304 Nw 5th St, Okeechobee, FL 34972-2565 CLINICAL SOCIAL WORKER

Zip 34953 · Psychiatry · Medicare Physician

Name Address Specialty
Ana Suarez 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-2845 PSYCHIATRY

Zip 34953 · Medicare Physician

Name Address Specialty
Joseph Pate 1973 Swsavage Blvd, Port Saint Lucie, FL 34953-2791 CHIROPRACTIC
Robert Iannacone 691 Sw Port St Lucie Blvd, Port St. Lucie, FL 34953-1998 PODIATRY
Gitana Ng 3318 Sw Blue Ct, Port St Lucie, FL 34953-3559 NURSE PRACTITIONER
Laura Pate 1973 Swsavage Blvd, Port Saint Lucie, FL 34953-2791 CHIROPRACTIC
Lynne Erbe 1721 Swgatlin Blvd, Port Saint Lucie, FL 34953 OPTOMETRY
Ana Suarez 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-2845 PSYCHIATRY
Magalys Koch 718 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-4578 CLINICAL SOCIAL WORKER
Jared Key 1383 Sw Gatlin Blvd, Port St Lucie, FL 34953-4102 CHIROPRACTIC

Port Saint Lucie · Medicare Physician

Name Address Specialty
Dean Lieberman 1900 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5554 PHYSICIAN ASSISTANT
Ana Suarez 2632 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34953-2845 PSYCHIATRY
Patrick Southe 1900 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5554 FAMILY PRACTICE
Brandie Astudillo-mounier 672 Sw Prima Vista Blvd, Port Saint Lucie, FL 34983-1820 FAMILY PRACTICE
Kim Tollefson 514 Se Port Saint Lucie Blvd, Port Saint Lucie, FL 34984-5108 NURSE PRACTITIONER
Olga Medina 306 Nwbethany Dr, Port Saint Lucie, FL 34986-3578 NURSE PRACTITIONER
Alan Birnbaum 1701 Se Hillmoor Dr, Port Saint Lucie, FL 34952-7552 INTERNAL MEDICINE
Megan Bock 9580 S Federal Hwy, Port Saint Lucie, FL 34952-4217 PHYSICIAN ASSISTANT
Daren Eccles 10050 Sw Innovation Way, Port Saint Lucie, FL 34987-2117 PHYSICAL THERAPY
Mark Pamer 160 Nwcentral Park Plz, Port Saint Lucie, FL 34986-1825 PULMONARY DISEASE
Kenneth Weiss 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 OTOLARYNGOLOGY
Shelita Dunlap 10023 S Us Hwy 1, Port Saint Lucie, FL 34952 NURSE PRACTITIONER
Joseph Holbrook 672 Sw Prima Vista Blvd, Port Saint Lucie, FL 34983-1820 NURSE PRACTITIONER
Alyssa Ostby 9580 S Federal Hwy, Port Saint Lucie, FL 34952-4217 PHYSICIAN ASSISTANT
Anil Desai 6696s Us Hwy 1, Port Saint Lucie, FL 34952-1423 PATHOLOGY
Michael Demasi 1900 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5554 EMERGENCY MEDICINE
Maria Rivera 7410s Us Hwy 1 105, Port Saint Lucie, FL 34952-1418 CLINICAL SOCIAL WORKER
Remo Raina 1930 Seport St Lucie Blvd, Port Saint Lucie, FL 34952-5509 INTERNAL MEDICINE
William Salcedo 1331 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952-5331 PODIATRY
Marcos Bracero 5150 N W Milner Dr, Port Saint Lucie, FL 34983-3392 NURSE PRACTITIONER