| Florida Respiratory-st Lucie Inc | |
|
1985 71st Ave Vero Beach FL 32966-7915 | |
| (772) 778-2101 | |
| (772) 778-2102 |
| Full Name | Florida Respiratory-st Lucie Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1985 71st Ave, Vero Beach, Florida |
| Authorized Official Name and Position | Stephen Eric Jordan (GM/PRESIDENT) |
| Authorized Official Contact | 7727782101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Respiratory-st Lucie Inc 1985 71st Ave Vero Beach FL 32966-7915 Ph: (772) 778-2101 | Florida Respiratory-st Lucie Inc 1985 71st Ave Vero Beach FL 32966-7915 Ph: (772) 778-2101 |
| NPI Number | 1023033669 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 01/03/2012 |
| Medicare PECOS PAC ID | 1658328182 |
|---|---|
| Medicare Enrollment ID | O20050406000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023033669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC6082 (Florida) | Primary |
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