| St Lucie - Port St Lucie | |
|
1680 Se Lyngate Dr Ste 101 Port St Lucie FL 34952-4300 | |
| (352) 483-9199 | |
| (352) 240-3907 |
| Full Name | St Lucie - Port St Lucie |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1680 Se Lyngate Dr Ste 101, Port St Lucie, Florida |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lucie - Port St Lucie 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | St Lucie - Port St Lucie 1680 Se Lyngate Dr Ste 101 Port St Lucie FL 34952-4300 Ph: (352) 483-9199 |
| NPI Number | 1518631654 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518631654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Path Medical- Port St. Lucie 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 | |
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 | |
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 | |
Live Young Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 Phone: 772-212-1111 Fax: 772-212-0201 | |
The Shores Treatment And Recovery Service, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8493 S Us Highway 1, Suite 14, Port St Lucie, FL 34952 Phone: 772-800-3990 | |
Quality Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4182 Sw Baird St, Port St Lucie, FL 34953 Phone: 561-714-6059 |