| Treasure Coast Gi Llc | |
|
1701 Se Hillmoor Dr Ste 4 Port St Lucie FL 34952-7552 | |
| (772) 777-2575 | |
| (772) 777-2587 |
| Full Name | Treasure Coast Gi Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 Se Hillmoor Dr Ste 4, Port St Lucie, Florida |
| Authorized Official Name and Position | Scott E Altschuler (MANAGER) |
| Authorized Official Contact | 7727772575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Gi Llc 1701 Se Hillmoor Dr Ste 4 Port St Lucie FL 34952-7552 Ph: (772) 777-2575 | Treasure Coast Gi Llc 1701 Se Hillmoor Dr Ste 4 Port St Lucie FL 34952-7552 Ph: (772) 777-2575 |
| NPI Number | 1881115343 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4789956681 |
|---|---|
| Medicare Enrollment ID | O20170825003352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881115343 | NPI | - | NPPES |
| ME102117 | Other | FL | FL BOARD OF MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME102117 (Florida) | Primary |
| Provider Name | Scott E Altschuler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346453610 PECOS PAC ID: 8123194685 Enrollment ID: I20080906000100 |
| Provider Name | Javier Rojas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134383060 PECOS PAC ID: 6901126812 Enrollment ID: I20150515002172 |
| Provider Name | Amy J Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972022713 PECOS PAC ID: 2961758370 Enrollment ID: I20180627001342 |
| Provider Name | Kristen Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437824281 PECOS PAC ID: 1254737158 Enrollment ID: I20210901000171 |
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