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PHYSICIANS GROUP OF THE TREASURE COAST LLC NPI 1336654763


NPI Information

NPI: 1336654763
Provider Name: PHYSICIANS GROUP OF THE TREASURE COAST LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1131 SE INDIAN ST
STUART, FL
ZIP 34997
Phone: (772) 617-0124
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PHYSICIANS GROUP OF THE TREASURE COAST LLC is a multi-specialty clinic center in Stuart, FL. PHYSICIANS GROUP OF THE TREASURE COAST LLC NPI is 1336654763. The provider is registered as an organization entity type.

The provider's business location address is:

1131 SE INDIAN ST
STUART, FL
ZIP 34997-765
Phone: (772) 617-0124
Fax: (772) 223-5110

The provider's authorized official is Christina Tucker .
The authorized official title is Owner and has the following contact phone number (772) 219-1355.

The enumeration date for this NPI number is 12/7/2017 and was last updated on 2/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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