PRIMA VISTA WALK-IN MEDICAL CENTER INC. NPI 1952423113

NPI Information

NPI: 1952423113
Provider Name: PRIMA VISTA WALK-IN MEDICAL CENTER, INC.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
784 E PRIMA VISTA BLVD
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 878-7311
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PRIMA VISTA WALK-IN MEDICAL CENTER, INC. is an adult medicine family medicine in Port St Lucie, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PRIMA VISTA WALK-IN MEDICAL CENTER, INC. NPI is 1952423113. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

784 E PRIMA VISTA BLVD
PORT ST LUCIE, FL
ZIP 34952-271
Phone: (772) 878-7311
Fax: (772) 878-7321

The provider's authorized official is Sylvia A. Mendoza .
The authorized official title is President and has the following contact phone number (772) 878-7311.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 12/3/2007.

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
1	207QA0505X	Family Medicine	Adult Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	72956	OTHER	FLORIDA	GRP # FACILITY
2	79256	MEDICARE PIN	FLORIDA
3	I16191	MEDICARE UPIN	FLORIDA
4	72956	MEDICARE PIN	FLORIDA
5	P00146779	MEDICARE PIN	FLORIDA

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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