Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark Mathew Lucero, PA-C

Individual provider Surgical Physician Assistant · NPI 1730154790

Mr. Mark Mathew Lucero, PA-C is a Physician Assistant in Vero Beach, Florida. Qualified in 2003, 23 years ago. Practices with Ies Florida PLLC, a 44-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 36th St
Vero Beach, FL 32960-4862
Phone: (772) 567-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9102527 (FL)

Record details

NPI number1730154790
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ies Florida Pllc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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