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TREASURE COAST PRIMARY CARE PA NPI 1407080773


NPI Information

NPI: 1407080773
Provider Name: TREASURE COAST PRIMARY CARE, PA

Other Name: CORPORATION

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1050 SE MONTEREY RD
STUART, FL
ZIP 34994
Phone: (772) 419-0560
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TREASURE COAST PRIMARY CARE, PA is a primary care clinic center in Stuart, FL. TREASURE COAST PRIMARY CARE, PA NPI is 1407080773. The provider is registered as an organization entity type.
The provider Other Name Is Corporation.

The provider's business location address is:

1050 SE MONTEREY RD
STUART, FL
ZIP 34994
Phone: (772) 419-0560
Fax: (772) 403-2379

The provider's authorized official is Michele F Libman .
The authorized official title is Pres/owner and has the following contact phone number (772) 419-2560.

The enumeration date for this NPI number is 5/14/2009 and was last updated on 5/14/2009.


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
1261QP2300XClinic/CenterPrimary CareME0081297FLORIDAYes

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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