| Coral Way Medical Center Inc | |
|
1940 Se Port St Lucie Blvd Port St Lucie FL 34952-5510 | |
| (772) 337-4430 | |
| (772) 337-4431 |
| Full Name | Coral Way Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 1940 Se Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Ronald Lubetsky (PRESIDENT) |
| Authorized Official Contact | 7723374430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Way Medical Center Inc 1940 Se Port St Lucie Blvd Port St Lucie FL 34952-5510 Ph: (772) 337-4430 | Coral Way Medical Center Inc 1940 Se Port St Lucie Blvd Port St Lucie FL 34952-5510 Ph: (772) 337-4430 |
| NPI Number | 1427231562 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 11/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427231562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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