| St Lucie Medical Associates Inc | |
|
1701 Se Hillmoor Dr Port Saint Lucie FL 34952-7552 | |
| (772) 335-3184 | |
| Not Available |
| Full Name | St Lucie Medical Associates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1701 Se Hillmoor Dr, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Binno Dhar (PRESIDENT) |
| Authorized Official Contact | 7723353184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lucie Medical Associates Inc 1701 Se Hillmoor Dr Port Saint Lucie FL 34952-7552 Ph: (772) 335-3184 | St Lucie Medical Associates Inc 1701 Se Hillmoor Dr Port Saint Lucie FL 34952-7552 Ph: (772) 335-3184 |
| NPI Number | 1265681019 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 11/21/2008 |
| Medicare PECOS PAC ID | 5890863401 |
|---|---|
| Medicare Enrollment ID | O20081009000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265681019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Binno Dhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356369227 PECOS PAC ID: 8224015557 Enrollment ID: I20071119000511 |
| Provider Name | Remo Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972756765 PECOS PAC ID: 0547320400 Enrollment ID: I20081121000389 |
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