| Internal Medicine Consultants Of Saint Lucie County Llc | |
|
2401 Frist Blvd Suite 1 Fort Pierce FL 34950-4839 | |
| (772) 464-0033 | |
| (772) 467-1150 |
| Full Name | Internal Medicine Consultants Of Saint Lucie County Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2401 Frist Blvd, Fort Pierce, Florida |
| Authorized Official Name and Position | Naheed Shareef (OWNER) |
| Authorized Official Contact | 7724640033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Consultants Of Saint Lucie County Llc 2401 Frist Blvd Suite 1 Fort Pierce FL 34950-4839 Ph: (772) 464-0033 | Internal Medicine Consultants Of Saint Lucie County Llc 2401 Frist Blvd Suite 1 Fort Pierce FL 34950-4839 Ph: (772) 464-0033 |
| NPI Number | 1538150826 |
|---|---|
| Provider Enumeration Date | 11/04/2005 |
| Last Update Date | 09/05/2012 |
| Medicare PECOS PAC ID | 8123082898 |
|---|---|
| Medicare Enrollment ID | O20041113000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538150826 | NPI | - | NPPES |
| 378187900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Humayun Shareef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790843464 PECOS PAC ID: 5799681904 Enrollment ID: I20031209000729 |
| Provider Name | Sandeep B Sura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710992458 PECOS PAC ID: 7416944186 Enrollment ID: I20040615001476 |
| Provider Name | John M Mcsween |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750370961 PECOS PAC ID: 4789825324 Enrollment ID: I20130724000901 |
| Provider Name | Santos Ruiz Cordero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598976557 PECOS PAC ID: 0143292797 Enrollment ID: I20141027000459 |
| Provider Name | Kelli Kraaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003275157 PECOS PAC ID: 0648521666 Enrollment ID: I20181001001581 |
| Provider Name | Edna Talabert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104331008 PECOS PAC ID: 2961756572 Enrollment ID: I20181119001074 |
| Provider Name | Susan May Thyme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730670555 PECOS PAC ID: 8022359231 Enrollment ID: I20190416000625 |
| Provider Name | Jocelyn Willett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760933766 PECOS PAC ID: 8820377302 Enrollment ID: I20231201001071 |
Holistic Family & Pain Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 S 25th St, Ste100, Fort Pierce, FL 34947 Phone: 772-467-9083 Fax: 772-464-6478 | |
Lakewood Park Walk-in Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5059 Turnpike Feeder Rd, Fort Pierce, FL 34951 Phone: 772-465-8588 | |
Ryan White Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Delaware Ave, Fort Pierce, FL 34950 Phone: 772-461-1402 Fax: 772-461-9972 | |
Md Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2215 Nebraska Ave Ste 2-b, Fort Pierce, FL 34950 Phone: 772-302-3767 Fax: 888-436-7197 | |
Tcmmd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2011 S 25th St Ste 206, Fort Pierce, FL 34947 Phone: 772-237-3600 Fax: 772-236-7887 | |
Geriatric Solutions, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5804 Indian Pines Blvd, Fort Pierce, FL 34951 Phone: 772-828-3752 Fax: 772-302-3518 | |
Perry R Lloyd Iii Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2207 Sunrise Blvd, Fort Pierce, FL 34950 Phone: 772-465-0491 |