Xpress Urgent Care, Llc. | |
672 Sw Prima Vista Blvd Suite 102 Port St Lucie FL 34983-1835 | |
(561) 932-0995 | |
(561) 932-0997 |
Full Name | Xpress Urgent Care, Llc. |
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Speciality | Clinic/Center |
Location | 672 Sw Prima Vista Blvd, Port St Lucie, Florida |
Authorized Official Name and Position | Mazin Shikara (PRESIDENT) |
Authorized Official Contact | 5617791652 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Xpress Urgent Care, Llc. Po Box 4189 Deerfield Beach FL 33442-4189 Ph: (954) 363-9582 | Xpress Urgent Care, Llc. 672 Sw Prima Vista Blvd Suite 102 Port St Lucie FL 34983-1835 Ph: (561) 932-0995 |
NPI Number | 1841566395 |
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Provider Enumeration Date | 03/29/2012 |
Last Update Date | 08/02/2023 |
Medicare PECOS PAC ID | 0042454944 |
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Medicare Enrollment ID | O20130916000316 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841566395 | NPI | - | NPPES |
008195600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Ramon Luis Rivera Olivieri |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1396946828 PECOS PAC ID: 7113904137 Enrollment ID: I20040707000537 |
Provider Name | Bridgette S Hampton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982625851 PECOS PAC ID: 2961469598 Enrollment ID: I20041215000865 |
Provider Name | Sylvia Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851329361 PECOS PAC ID: 9234176975 Enrollment ID: I20050413001052 |
Provider Name | Anthony E Perrotti |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073627758 PECOS PAC ID: 6406896711 Enrollment ID: I20050505001030 |
Provider Name | Mazin M Shikara |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316967912 PECOS PAC ID: 0143237800 Enrollment ID: I20060321000622 |
Provider Name | Nadine A Clarke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366740979 PECOS PAC ID: 0547415069 Enrollment ID: I20130306000292 |
Provider Name | Benjamin Francois Chavre |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1306241286 PECOS PAC ID: 5294059291 Enrollment ID: I20150122001502 |
Provider Name | Enibokun O Owi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891184099 PECOS PAC ID: 2668772500 Enrollment ID: I20151130000505 |
Provider Name | Melissa D Martz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558724393 PECOS PAC ID: 0042503815 Enrollment ID: I20160801002446 |
Provider Name | Miguel A Gonzalez Perez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1285604322 PECOS PAC ID: 0648214841 Enrollment ID: I20161206000043 |
Provider Name | Omar Perez Soto |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1255354841 PECOS PAC ID: 1850359456 Enrollment ID: I20170425003106 |
Provider Name | Ruth M Calderon Collado |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1790957538 PECOS PAC ID: 6204905052 Enrollment ID: I20180405001357 |
Provider Name | Carmen E Allende Gines |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1194782821 PECOS PAC ID: 6204991243 Enrollment ID: I20180822003881 |
Provider Name | Latoya Camay Howell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013425727 PECOS PAC ID: 7719231059 Enrollment ID: I20181126001963 |
Provider Name | Ivan Javier Torres-franceschini |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1093090094 PECOS PAC ID: 4688917818 Enrollment ID: I20190510000096 |
Provider Name | Karen Lynn Riepe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619537677 PECOS PAC ID: 7214267004 Enrollment ID: I20190920001356 |
Provider Name | Bozhena Tabakman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124109277 PECOS PAC ID: 6103086160 Enrollment ID: I20191001002045 |
Provider Name | Ronel Desrosiers |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1437551884 PECOS PAC ID: 0042537300 Enrollment ID: I20191118003187 |
Provider Name | Kim S Sarno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760044317 PECOS PAC ID: 0941635908 Enrollment ID: I20200121002415 |
Provider Name | Michel Granados-ruiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740754720 PECOS PAC ID: 6901235001 Enrollment ID: I20200409003516 |
Provider Name | Manuel Salvador Portillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386245652 PECOS PAC ID: 1456764349 Enrollment ID: I20210114001126 |
Provider Name | Marva Grace Carpenter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790393205 PECOS PAC ID: 1052713112 Enrollment ID: I20210712002933 |
Provider Name | Lisa Marie Clinkscales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447735030 PECOS PAC ID: 6406251776 Enrollment ID: I20210825000551 |
Provider Name | Zakiyah Swaby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427657048 PECOS PAC ID: 0446657423 Enrollment ID: I20210916003427 |
Provider Name | Jennifer Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720753981 PECOS PAC ID: 0840698411 Enrollment ID: I20211012002156 |
Provider Name | Sarvjeet Kaur Garcha |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679237754 PECOS PAC ID: 4981092392 Enrollment ID: I20211103001896 |
Provider Name | Amber Nichole Niles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760145924 PECOS PAC ID: 7012301708 Enrollment ID: I20220223000237 |
Provider Name | Raciel Alonso Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902550460 PECOS PAC ID: 3971990110 Enrollment ID: I20220419000006 |
Provider Name | Lisa Marie Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417535881 PECOS PAC ID: 5496133530 Enrollment ID: I20220602000841 |
Provider Name | Steffi Fiallos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184354409 PECOS PAC ID: 8628451507 Enrollment ID: I20220810003760 |
Provider Name | Roslyn J Achmad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356077317 PECOS PAC ID: 2062895022 Enrollment ID: I20220824001442 |
Provider Name | Shadell Christine Holas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811615297 PECOS PAC ID: 3779969431 Enrollment ID: I20221003003122 |
Provider Name | Soraya Raquel Roa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356956064 PECOS PAC ID: 7719363423 Enrollment ID: I20221004002083 |
Provider Name | Jessica Lee Taddeo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104546019 PECOS PAC ID: 1759759699 Enrollment ID: I20221123002909 |
Provider Name | Lakeisha A Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215675988 PECOS PAC ID: 9638548415 Enrollment ID: I20221219000609 |
Provider Name | Leona Michelle Sweeting |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275245979 PECOS PAC ID: 8628449667 Enrollment ID: I20230130001386 |
Provider Name | Shalan N Ross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649984352 PECOS PAC ID: 3779955984 Enrollment ID: I20230217000000 |
Provider Name | Shari Ramlal-johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174222400 PECOS PAC ID: 1355715392 Enrollment ID: I20230315000341 |
Provider Name | Jeanine Jean Francois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629670286 PECOS PAC ID: 7315311677 Enrollment ID: I20230328001969 |
Provider Name | Meghnad Bhowmick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538867585 PECOS PAC ID: 6709241631 Enrollment ID: I20230428001810 |
Provider Name | Kethtia Cimeus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609508365 PECOS PAC ID: 1951767318 Enrollment ID: I20230510001523 |
Provider Name | Julian Leonie Bassaragh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700348497 PECOS PAC ID: 5890028518 Enrollment ID: I20230613000646 |
Provider Name | Rachel Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386382844 PECOS PAC ID: 8921469859 Enrollment ID: I20230725002594 |
Provider Name | Carlos Xavier Vega Lozada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093423618 PECOS PAC ID: 8325409766 Enrollment ID: I20230801002209 |
Provider Name | Natali Roldan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366225724 PECOS PAC ID: 3173987088 Enrollment ID: I20230912000033 |
Provider Name | Tinya C Clements |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043992514 PECOS PAC ID: 6901250828 Enrollment ID: I20230927000426 |
Provider Name | Lucie Gedeum-hippolyte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538947288 PECOS PAC ID: 8022469139 Enrollment ID: I20240112001239 |
Provider Name | Cira N Perez Miranda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982486601 PECOS PAC ID: 2769833243 Enrollment ID: I20240116000701 |
Provider Name | Orlando Abel Hernandez Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386334928 PECOS PAC ID: 7618315987 Enrollment ID: I20240404004147 |
Provider Name | Christina Anna-kaye Locke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073398285 PECOS PAC ID: 7214479419 Enrollment ID: I20240603003792 |
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 |