ST. LUCIE GENERAL SERVICES INC NPI 1033096367

NPI Information

  • NPI: 1033096367
  • Provider Name: ST. LUCIE GENERAL SERVICES INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1401 SE GOLDTREE DR STE 103
    PORT ST LUCIE, FL
    ZIP 34952
  • Phone: (239) 238-2580

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NPI Details

ST. LUCIE GENERAL SERVICES INC is a clinic center in Port St Lucie, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ST. LUCIE GENERAL SERVICES INC NPI is 1033096367. The provider is registered as an organization entity type.

The provider's business location address is:

1401 SE GOLDTREE DR STE 103
PORT ST LUCIE, FL
ZIP 34952-584
Phone: (239) 238-2580
Fax: (239) 237-5491

The provider's authorized official is Marlon Gilbert .
The authorized official title is Medical Doctor and has the following contact phone number (239) 238-2580.

The enumeration date for this NPI number is 8/19/2025 and was last updated on 8/19/2025.

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
1261Q00000XClinic/CenterYes

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: 3/30/2025

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