| Treasure Coast Health Services, Inc. | |
|
622 Se Central Pkwy Stuart FL 34994-3970 | |
| (772) 288-1220 | |
| (772) 288-5151 |
| Full Name | Treasure Coast Health Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 622 Se Central Pkwy, Stuart, Florida |
| Authorized Official Name and Position | David A Elliott (OWNER) |
| Authorized Official Contact | 7722881220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Health Services, Inc. 622 Se Central Pkwy Stuart FL 34994-3970 Ph: (772) 288-1220 | Treasure Coast Health Services, Inc. 622 Se Central Pkwy Stuart FL 34994-3970 Ph: (772) 288-1220 |
| NPI Number | 1942498548 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/10/2007 |
| Medicare PECOS PAC ID | 9032162821 |
|---|---|
| Medicare Enrollment ID | O20050221000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942498548 | NPI | - | NPPES |
| 373111100 | Medicaid | FL | |
| 1811986581 | Other | FL | DR. DAVID ELLIOTT'S NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | OS6350 (Florida) | Primary |
| Provider Name | David A Elliott |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811986581 PECOS PAC ID: 9739088386 Enrollment ID: I20050223000385 |
| Provider Name | Donald J Zeller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154360733 PECOS PAC ID: 7618003815 Enrollment ID: I20100326000650 |
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