| Treasure Coast Neurology West, Llc | |
|
1420 Sw Saint Lucie West Blvd Suite 102 Port St Lucie FL 34986-1709 | |
| (772) 873-1005 | |
| (772) 595-9986 |
| Full Name | Treasure Coast Neurology West, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1420 Sw Saint Lucie West Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Lucille Ann Vandevere (OWNER) |
| Authorized Official Contact | 7728731005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Neurology West, Llc Po Box 881565 Port St Lucie FL 34988-1565 Ph: (772) 873-1005 | Treasure Coast Neurology West, Llc 1420 Sw Saint Lucie West Blvd Suite 102 Port St Lucie FL 34986-1709 Ph: (772) 873-1005 |
| NPI Number | 1619921301 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619921301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ARNP 3283142 (Florida) | Primary |
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 |