| Treasure Coast Healthcare Associates,llc | |
|
6989 Hancock Dr Port St Lucie FL 34952-8207 | |
| (772) 418-4036 | |
| Not Available |
| Full Name | Treasure Coast Healthcare Associates,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6989 Hancock Dr, Port St Lucie, Florida |
| Authorized Official Name and Position | Luz D Schelmety-henriquez (OWNER/MGR) |
| Authorized Official Contact | 7724184036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Healthcare Associates,llc 6989 Hancock Dr Port St Lucie FL 34952-8207 Ph: (772) 418-4036 | Treasure Coast Healthcare Associates,llc 6989 Hancock Dr Port St Lucie FL 34952-8207 Ph: (772) 418-4036 |
| NPI Number | 1235674441 |
|---|---|
| Provider Enumeration Date | 12/23/2016 |
| Last Update Date | 04/17/2017 |
| Medicare PECOS PAC ID | 2163708470 |
|---|---|
| Medicare Enrollment ID | O20170420000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235674441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP3333482 (Florida) | Primary |
| Provider Name | Luz D Schelmety-henriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164479564 PECOS PAC ID: 8325014095 Enrollment ID: I20040903000223 |
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