Blue Skies Health & Wellness Clinic | |
10198 Sw Village Pkwy Ste 105 Port St Lucie FL 34987-2592 | |
(772) 934-4990 | |
(772) 934-4991 |
Full Name | Blue Skies Health & Wellness Clinic |
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Speciality | Family Medicine |
Location | 10198 Sw Village Pkwy Ste 105, Port St Lucie, Florida |
Authorized Official Name and Position | Sabrina Lynn Vizzini (CEO) |
Authorized Official Contact | 7729344990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blue Skies Health & Wellness Clinic 10198 Sw Village Pkwy Ste 105 Port St Lucie FL 34987-2592 Ph: (772) 934-4990 | Blue Skies Health & Wellness Clinic 10198 Sw Village Pkwy Ste 105 Port St Lucie FL 34987-2592 Ph: (772) 934-4990 |
NPI Number | 1720840168 |
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Provider Enumeration Date | 01/30/2024 |
Last Update Date | 04/09/2024 |
Medicare PECOS PAC ID | 8224477013 |
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Medicare Enrollment ID | O20240412001175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720840168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Emily Gore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659017309 PECOS PAC ID: 3072993229 Enrollment ID: I20220705002928 |
Provider Name | Roseclaire Darang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033782545 PECOS PAC ID: 9739549569 Enrollment ID: I20230712001668 |
Provider Name | Stephanie Lynne Hoppy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639563729 PECOS PAC ID: 8426369695 Enrollment ID: I20240124003745 |
Provider Name | John Hamilton |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1487034831 PECOS PAC ID: 7911266077 Enrollment ID: I20240418001571 |
Provider Name | Amy Michelle Weber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730962754 PECOS PAC ID: 0042651333 Enrollment ID: I20240517001206 |
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 |