| Gastroenterology Specialist Of The Treasure Coast, Inc | |
|
501 Nw Lake Whitney Pl Ste 102 Port St Lucie FL 34986-1615 | |
| (772) 359-0091 | |
| Not Available |
| Full Name | Gastroenterology Specialist Of The Treasure Coast, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 Nw Lake Whitney Pl Ste 102, Port St Lucie, Florida |
| Authorized Official Name and Position | Jayshree Matadial (PRESIDENT) |
| Authorized Official Contact | 7723590091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Specialist Of The Treasure Coast, Inc Po Box 8090 Port St Lucie FL 34985-8090 Ph: (772) 359-0091 | Gastroenterology Specialist Of The Treasure Coast, Inc 501 Nw Lake Whitney Pl Ste 102 Port St Lucie FL 34986-1615 Ph: (772) 359-0091 |
| NPI Number | 1477888444 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 05/26/2020 |
| Medicare PECOS PAC ID | 6901948645 |
|---|---|
| Medicare Enrollment ID | O20100119000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477888444 | NPI | - | NPPES |
| ME77972 | Other | FL | MEDICAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME77972 (Florida) | Primary |
| Provider Name | Jayshree Matadial |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568416030 PECOS PAC ID: 9638249949 Enrollment ID: I20080529000319 |
Path Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Nw Lake Whitney Pl Ste 101, Port St Lucie, FL 34986 Phone: 772-732-7874 Fax: 772-300-9093 | |
Larry Quirit, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-398-0043 Fax: 772-398-4914 | |
St. Lucie General Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Se Goldtree Dr Ste 103, Port St Lucie, FL 34952 Phone: 239-238-2580 Fax: 239-237-5491 | |
Wellmed Medical Management Of Florida Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 549 Nw Lake Whitney Place, Bldg I, Suite 101, Port St Lucie, FL 34986 Phone: 210-617-4706 | |
Healthy Md Clinical, Llc F/k/a Independent Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7436 S Federal Hwy, Port St Lucie, FL 34952 Phone: 800-773-7066 | |
Flomed Infusion Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 Sw Import Dr Ste 203, Port St Lucie, FL 34953 Phone: 561-559-9800 Fax: 561-559-9801 | |
Live Young Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 Phone: 772-212-1111 Fax: 772-212-0201 |