| Prima Vista Walk-in Medical Center, Inc. | |
|
784 E Prima Vista Blvd Port St Lucie FL 34952-2271 | |
| (772) 878-7311 | |
| (772) 878-7321 |
| Full Name | Prima Vista Walk-in Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 784 E Prima Vista Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Sylvia A. Mendoza (PRESIDENT) |
| Authorized Official Contact | 7728787311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prima Vista Walk-in Medical Center, Inc. 784 E Prima Vista Blvd Port St Lucie FL 34952-2271 Ph: (772) 878-7311 | Prima Vista Walk-in Medical Center, Inc. 784 E Prima Vista Blvd Port St Lucie FL 34952-2271 Ph: (772) 878-7311 |
| NPI Number | 1952423113 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952423113 | NPI | - | NPPES |
| 72956 | Other | FL | GRP # FACILITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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