| Primary Care Associates Pa | |
|
8483 S Us Highway 1 Suite 19 Port St Lucie FL 34952-3360 | |
| (772) 873-1770 | |
| (772) 873-1313 |
| Full Name | Primary Care Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8483 S Us Highway 1, Port St Lucie, Florida |
| Authorized Official Name and Position | Ravi Mehan (PRESIDENT) |
| Authorized Official Contact | 7728731770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Associates Pa 8483 S Us Highway 1 Suite 19 Port St Lucie FL 34952-3360 Ph: (772) 873-1770 | Primary Care Associates Pa 8483 S Us Highway 1 Suite 19 Port St Lucie FL 34952-3360 Ph: (772) 873-1770 |
| NPI Number | 1285689216 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 10/13/2007 |
| Medicare PECOS PAC ID | 4486759768 |
|---|---|
| Medicare Enrollment ID | O20070416000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285689216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandeep B Sura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710992458 PECOS PAC ID: 7416944186 Enrollment ID: I20040615001476 |
| Provider Name | Jaime R Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861408767 PECOS PAC ID: 6608851084 Enrollment ID: I20040621000753 |
| Provider Name | Ravi Mehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578519534 PECOS PAC ID: 1254437767 Enrollment ID: I20070430000664 |
| Provider Name | Roberta S Hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801899125 PECOS PAC ID: 4880761246 Enrollment ID: I20080926000273 |
| Provider Name | Carolyn A Rawdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487893343 PECOS PAC ID: 8022167659 Enrollment ID: I20090601000236 |
| Provider Name | Diane Leigh Pugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073590667 PECOS PAC ID: 3476697855 Enrollment ID: I20100223000679 |
| Provider Name | Dominique S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851845069 PECOS PAC ID: 6507149994 Enrollment ID: I20170209000379 |
| Provider Name | Anthony Tomasello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467906552 PECOS PAC ID: 9133490972 Enrollment ID: I20170811002870 |
| Provider Name | Claudia Patricia Santamaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043787328 PECOS PAC ID: 7719222116 Enrollment ID: I20181212002557 |
| Provider Name | Geeta Mehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457884249 PECOS PAC ID: 2961829262 Enrollment ID: I20200901002640 |
| Provider Name | Sara E Poslaiko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629693734 PECOS PAC ID: 9638583834 Enrollment ID: I20210129001411 |
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 |