| Union Medical Center Llc | |
|
1818 Se Port St Lucie Blvd Port St Lucie FL 34952-5545 | |
| (754) 610-8093 | |
| Not Available |
| Full Name | Union Medical Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 1818 Se Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Mirlande Sejourne (MANAGER MEMBER) |
| Authorized Official Contact | 7546108093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Medical Center Llc 1818 Se Port St Lucie Blvd Port St Lucie FL 34952-5545 Ph: () - | Union Medical Center Llc 1818 Se Port St Lucie Blvd Port St Lucie FL 34952-5545 Ph: (754) 610-8093 |
| NPI Number | 1205570157 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Medicare PECOS PAC ID | 6406239961 |
|---|---|
| Medicare Enrollment ID | O20220816001253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205570157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Emilio E Castaneda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194858746 PECOS PAC ID: 2365421930 Enrollment ID: I20040716000667 |
| Provider Name | Edward W Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306913876 PECOS PAC ID: 6901822014 Enrollment ID: I20081118000489 |
| Provider Name | Paulard Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578104816 PECOS PAC ID: 3476951492 Enrollment ID: I20211006000171 |
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