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SURAMED HEALTH CENTER PA NPI 1649896127


NPI Information

NPI: 1649896127
Provider Name: SURAMED HEALTH CENTER PA

Doing Business As: SURAMED HEALTH CENTER PA PORT SAINT LUCIE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D2197575

Address:
683 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL
ZIP 34953
Phone: (561) 275-7100
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SURAMED HEALTH CENTER PA is a pediatrics in Port St Lucie, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SURAMED HEALTH CENTER PA NPI is 1649896127. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suramed Health Center Pa Port Saint Lucie.

The provider's business location address is:

683 SW PORT ST LUCIE BLVD
PORT ST LUCIE, FL
ZIP 34953-998
Phone: (561) 275-7100
Fax: (561) 275-7199

The provider's authorized official is Sergio David Arango .
The authorized official title is Credentialing and has the following contact phone number (561) 275-7100.

The CLIA number assigned to this NPI record is 10D2197575 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2020 and was last updated on 4/18/2022.


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
1208000000XPediatricsYes

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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