| Quintessential Medical Associates Llc | |
|
573 Nw Lake Whitney Pl Ste 103 Port St Lucie FL 34986-1628 | |
| (833) 245-5633 | |
| (833) 962-6213 |
| Full Name | Quintessential Medical Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 573 Nw Lake Whitney Pl Ste 103, Port St Lucie, Florida |
| Authorized Official Name and Position | Mohammed J Shweikeh (DOCTOR) |
| Authorized Official Contact | 9516401941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quintessential Medical Associates Llc Po Box 880854 Port St Lucie FL 34988-0854 Ph: (833) 245-5633 | Quintessential Medical Associates Llc 573 Nw Lake Whitney Pl Ste 103 Port St Lucie FL 34986-1628 Ph: (833) 245-5633 |
| NPI Number | 1336814177 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 05/03/2022 |
| Medicare PECOS PAC ID | 8729484183 |
|---|---|
| Medicare Enrollment ID | O20210909002688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336814177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS1201X | Family Medicine - Sleep Medicine | (* (Not Available)) | Secondary |
| Provider Name | Mohammed Shweikeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932548880 PECOS PAC ID: 6002107570 Enrollment ID: I20210517000383 |
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