| Advent Prestige Care Llc | |
|
130 S Indian River Dr Ste 202 Fort Pierce FL 34950-4353 | |
| (772) 773-0229 | |
| Not Available |
| Full Name | Advent Prestige Care Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 130 S Indian River Dr Ste 202, Fort Pierce, Florida |
| Authorized Official Name and Position | Shirley Barclay (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7727730229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advent Prestige Care Llc 674 Sw Montana Ter Port Saint Lucie FL 34953-2072 Ph: (772) 773-0229 | Advent Prestige Care Llc 130 S Indian River Dr Ste 202 Fort Pierce FL 34950-4353 Ph: (772) 773-0229 |
| NPI Number | 1235887621 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 2466837976 |
|---|---|
| Medicare Enrollment ID | O20220920002474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235887621 | NPI | - | NPPES |
| Provider Name | Shirley Barclay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740606037 PECOS PAC ID: 0749527760 Enrollment ID: I20190130000230 |
| Provider Name | Aisha Stachelle De Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174218440 PECOS PAC ID: 9133584055 Enrollment ID: I20230428000897 |
| Provider Name | Sheryl Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104439991 PECOS PAC ID: 8729463237 Enrollment ID: I20240318001412 |
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