| Tesoro Lab | |
|
1811 S 25th St Fort Pierce FL 34947-4756 | |
| (772) 595-5988 | |
| (772) 595-5989 |
| Full Name | Tesoro Lab |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1811 S 25th St, Fort Pierce, Florida |
| Authorized Official Name and Position | Joseph J Katta (CHIEF OFFICER) |
| Authorized Official Contact | 7725955988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tesoro Lab 1811 S 25th St Fort Pierce FL 34947-4756 Ph: (772) 595-5988 | Tesoro Lab 1811 S 25th St Fort Pierce FL 34947-4756 Ph: (772) 595-5988 |
| NPI Number | 1639593858 |
|---|---|
| Provider Enumeration Date | 02/07/2014 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639593858 | NPI | - | NPPES |
| AJ581 | Other | FL | MEDICARE PTAN |
| 0006W | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 047323 (Florida) | Primary |
Holistic Family & Pain Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 S 25th St, Ste100, Fort Pierce, FL 34947 Phone: 772-467-9083 Fax: 772-464-6478 |
Soma Medical Center PA 15 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Acorn Street, Suite A, Fort Pierce, FL 34947 Phone: 772-837-7800 Fax: 772-837-7801 |
Lakewood Park Walk-in Clinic, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5059 Turnpike Feeder Rd, Fort Pierce, FL 34951 Phone: 772-465-8588 |
Ryan White Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Delaware Ave, Fort Pierce, FL 34950 Phone: 772-461-1402 Fax: 772-252-7114 |
Soma Medical Center, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2339 S Us Highway 1, Fort Pierce, FL 34982 Phone: 772-461-1008 Fax: 772-461-0041 |
MD Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2215 Nebraska Ave Ste 2-b, Fort Pierce, FL 34950 Phone: 772-302-3767 Fax: 888-436-7197 |