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ST LUCIE SURGICAL ASSOCIATES PA NPI 1770730459


NPI Information

NPI: 1770730459
Provider Name: ST LUCIE SURGICAL ASSOCIATES PA
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
8483 S US HIGHWAY 1
SUITE 19
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 873-8501
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ST LUCIE SURGICAL ASSOCIATES PA is a surgery in Port St Lucie, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ST LUCIE SURGICAL ASSOCIATES PA NPI is 1770730459. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8483 S US HIGHWAY 1
SUITE 19
PORT ST LUCIE, FL
ZIP 34952-360
Phone: (772) 873-8501
Fax: (772) 873-8516

The provider's authorized official is Ian Anthony Concilio .
The authorized official title is Owner/physician and has the following contact phone number (772) 873-8501.

The enumeration date for this NPI number is 8/25/2008 and was last updated on 9/30/2008.


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
12086S0127XSurgeryTrauma SurgeryNo
22086S0129XSurgeryVascular SurgeryNo
32086X0206XSurgerySurgical OncologyNo
4208600000XSurgeryYes

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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