| Medical Physicians Group Pllc | |
|
290 Nw Peacock Blvd # 880891 Port Saint Lucie FL 34986-2205 | |
| (816) 398-8916 | |
| Not Available |
| Full Name | Medical Physicians Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 290 Nw Peacock Blvd # 880891, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Pat Leung (PHYSICIAN/CEO) |
| Authorized Official Contact | 3109281896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Physicians Group Pllc Po Box 880891 Port Saint Lucie FL 34988-0891 Ph: (816) 398-8916 | Medical Physicians Group Pllc 290 Nw Peacock Blvd # 880891 Port Saint Lucie FL 34986-2205 Ph: (816) 398-8916 |
| NPI Number | 1598245615 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 4082953658 |
|---|---|
| Medicare Enrollment ID | O20190226000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598245615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| 333600000X | Pharmacy | (* (Not Available)) | Secondary |
| Provider Name | Patrick Leung |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124461124 PECOS PAC ID: 6204124449 Enrollment ID: I20190227000049 |
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