| Ashley East Pa | |
|
1617 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5428 | |
| (772) 203-8811 | |
| Not Available |
| Full Name | Ashley East Pa |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1617 Se Port St Lucie Blvd, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Ashley Lynn East (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 7722038811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley East Pa 1460 Se Portillo Rd Port Saint Lucie FL 34952-4984 Ph: (772) 203-8811 | Ashley East Pa 1617 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5428 Ph: (772) 203-8811 |
| NPI Number | 1205794443 |
|---|---|
| Provider Enumeration Date | 01/15/2026 |
| Last Update Date | 03/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205794443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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