| Medical Physicians Group Pllc | |
|
290 Nw Peacock Blvd # 880891 Port Saint Lucie FL 34986-2205 | |
| (816) 398-8916 | |
| Not Available |
| Full Name | Medical Physicians Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 290 Nw Peacock Blvd # 880891, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Pat Leung (CEO/PHYSICIAN) |
| Authorized Official Contact | 8638740898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Physicians Group Pllc Po Box 186 Unit 186 Macclenny FL 32063 Ph: (863) 874-0898 | Medical Physicians Group Pllc 290 Nw Peacock Blvd # 880891 Port Saint Lucie FL 34986-2205 Ph: (816) 398-8916 |
| NPI Number | 1114408648 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 01/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114408648 | NPI | - | NPPES |
| 1124461124 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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