| Xpress Urgent Care, Llc. | |
|
672 Sw Prima Vista Blvd Suite 102 Port St Lucie FL 34983-1835 | |
| (561) 932-0995 | |
| (561) 932-0997 |
| Full Name | Xpress Urgent Care, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 672 Sw Prima Vista Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Mazin Shikara (PRESIDENT) |
| Authorized Official Contact | 5617791652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xpress Urgent Care, Llc. Po Box 4189 Deerfield Beach FL 33442-4189 Ph: (954) 363-9582 | Xpress Urgent Care, Llc. 672 Sw Prima Vista Blvd Suite 102 Port St Lucie FL 34983-1835 Ph: (561) 932-0995 |
| NPI Number | 1841566395 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 08/02/2023 |
| Medicare PECOS PAC ID | 0042454944 |
|---|---|
| Medicare Enrollment ID | O20130916000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841566395 | NPI | - | NPPES |
| 008195600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Bridgette S Hampton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982625851 PECOS PAC ID: 2961469598 Enrollment ID: I20041215000865 |
| Provider Name | Mazin M Shikara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316967912 PECOS PAC ID: 0143237800 Enrollment ID: I20060321000622 |
| Provider Name | Tara S Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568899961 PECOS PAC ID: 3577790443 Enrollment ID: I20131220001671 |
| Provider Name | Benjamin Francois Chavre |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306241286 PECOS PAC ID: 5294059291 Enrollment ID: I20150122001502 |
| Provider Name | Miguel A Gonzalez Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285604322 PECOS PAC ID: 0648214841 Enrollment ID: I20161206000043 |
| Provider Name | Ruth M Calderon Collado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790957538 PECOS PAC ID: 6204905052 Enrollment ID: I20180405001357 |
| Provider Name | Latoya Camay Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013425727 PECOS PAC ID: 7719231059 Enrollment ID: I20181126001963 |
| Provider Name | Bozhena Tabakman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124109277 PECOS PAC ID: 6103086160 Enrollment ID: I20191001002045 |
| Provider Name | Ronel Desrosiers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437551884 PECOS PAC ID: 0042537300 Enrollment ID: I20191118003187 |
| Provider Name | Kim S Sarno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760044317 PECOS PAC ID: 0941635908 Enrollment ID: I20200121002415 |
| Provider Name | Michel Granados-ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740754720 PECOS PAC ID: 6901235001 Enrollment ID: I20200409003516 |
| Provider Name | Manuel Salvador Portillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386245652 PECOS PAC ID: 1456764349 Enrollment ID: I20210114001126 |
| Provider Name | Lisa Marie Clinkscales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447735030 PECOS PAC ID: 6406251776 Enrollment ID: I20210825000551 |
| Provider Name | Jennifer Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720753981 PECOS PAC ID: 0840698411 Enrollment ID: I20211012002156 |
| Provider Name | Shahnaz Shazeena Maharaj- Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427629674 PECOS PAC ID: 7214325232 Enrollment ID: I20211025001949 |
| Provider Name | Sarvjeet Kaur Garcha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679237754 PECOS PAC ID: 4981092392 Enrollment ID: I20211103001896 |
| Provider Name | Amber Nichole Niles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760145924 PECOS PAC ID: 7012301708 Enrollment ID: I20220223000237 |
| Provider Name | Raciel Alonso Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902550460 PECOS PAC ID: 3971990110 Enrollment ID: I20220419000006 |
| Provider Name | Lisa Marie Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417535881 PECOS PAC ID: 5496133530 Enrollment ID: I20220602000841 |
| Provider Name | Steffi Fiallos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184354409 PECOS PAC ID: 8628451507 Enrollment ID: I20220810003760 |
| Provider Name | Roslyn J Achmad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356077317 PECOS PAC ID: 2062895022 Enrollment ID: I20220824001442 |
| Provider Name | Shadell Christine Holas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811615297 PECOS PAC ID: 3779969431 Enrollment ID: I20221003003122 |
| Provider Name | Marise-jasmine Metayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780317065 PECOS PAC ID: 1456729821 Enrollment ID: I20221116002911 |
| Provider Name | Lakeisha A Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215675988 PECOS PAC ID: 9638548415 Enrollment ID: I20221219000609 |
| Provider Name | Irving Joseph Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093482093 PECOS PAC ID: 0840660833 Enrollment ID: I20230109002058 |
| Provider Name | Shari Ramlal-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174222400 PECOS PAC ID: 1355715392 Enrollment ID: I20230315000341 |
| Provider Name | Jeanine Jean Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629670286 PECOS PAC ID: 7315311677 Enrollment ID: I20230328001969 |
| Provider Name | Julian Leonie Bassaragh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700348497 PECOS PAC ID: 5890028518 Enrollment ID: I20230613000646 |
| Provider Name | Rachel Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386382844 PECOS PAC ID: 8921469859 Enrollment ID: I20230725002594 |
| Provider Name | Lucie Gedeum-hippolyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538947288 PECOS PAC ID: 8022469139 Enrollment ID: I20240112001239 |
| Provider Name | Cira N Perez Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982486601 PECOS PAC ID: 2769833243 Enrollment ID: I20240116000701 |
| Provider Name | Barbara Hilda Suarez-saldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720856602 PECOS PAC ID: 1951749696 Enrollment ID: I20240401002199 |
| Provider Name | Orlando Abel Hernandez Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386334928 PECOS PAC ID: 7618315987 Enrollment ID: I20240404004147 |
| Provider Name | Christina Anna-kaye Locke-mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073398285 PECOS PAC ID: 7214479419 Enrollment ID: I20240603003792 |
| Provider Name | Frantzy Cherubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780373209 PECOS PAC ID: 3678931904 Enrollment ID: I20241127002918 |
| Provider Name | Nicole Rosembert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558182824 PECOS PAC ID: 3779012844 Enrollment ID: I20250120000454 |
| Provider Name | Tabitha Ariel Dudak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124831110 PECOS PAC ID: 6204357825 Enrollment ID: I20250311002485 |
| Provider Name | Tonia Lynn Rossano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831997873 PECOS PAC ID: 1456875863 Enrollment ID: I20250407003787 |
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 |