TREASURE COAST MEDICAL ASSOCIATES (NPI# 1740689280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740689280 |
| Entity Type | Organization |
| Organization Name | TREASURE COAST MEDICAL ASSOCIATES |
| Other Organization Name | STUART URGENT CARE AND FAMILY PRACTICE |
| Practice Address |
3405 Nw Federal Hwy Jensen Beach FL 34957-4439 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7726928082 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | ME68270 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Stuart Urgent Care and Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831653997 | Treasure Coast Medical Associates | Physician Assistant | 7195 S George Blvd, Sebring, FL 33875-5823 | 2019-01-23 |
| 1528455847 | Treasure Coast Medical Associates | Family Medicine | 305 Ne Park St, Okeechobee, FL 34972-2900 | 2015-04-24 |
| 1992791198 | Treasure Coast Medical Associates | Internal Medicine | 3405 Nw Federal Hwy, Jensen Beach, FL 34957 | 2005-09-22 |
| Street Address |
3405 NW FEDERAL HWY |
| City | JENSEN BEACH |
| State | FL |
| Zip Code | 34957-4439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225024417 | Jonathan Michael Adelberg | Emergency Medicine | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4439 | 2005-09-22 |
| 1750905568 | Alexandra Marie Craft | Physician Assistant | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4439 | 2020-06-08 |
| 1639642507 | Joseph Paul Karram | Physician Assistant | 3405 Nw Federal Hwy, Jensen Beach, FL 34957 | 2019-01-03 |
| 1588017388 | Kyle Slazyk | Specialist/Technologist | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 | 2016-07-16 |
| 1639541444 | John Mershon | Physician Assistant | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4439 | 2015-10-20 |
| 1013390798 | David Pavcik | Nurse Practitioner | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4439 | 2015-06-30 |
| 1073940151 | Jensen Beach Family Practice, Inc | Internal Medicine | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4439 | 2013-10-03 |
| 1659623700 | Michael A Garvin Dpm Pa | Durable Medical Equipment & Medical Supplies | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4439 | 2012-10-12 |
| 1205102456 | Catherine Sue Ernotte | Nurse Practitioner | 3405 Nw Federal Hwy, Jensen Beach, FL 34957-4403 | 2012-03-31 |
| 1992791198 | Treasure Coast Medical Associates | Internal Medicine | 3405 Nw Federal Hwy, Jensen Beach, FL 34957 | 2005-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760902282 | Spaahmed LLC | Internal Medicine | 1820 Nejensen Beach Blvd, Ste 561, Jensen Beach, FL 34957 | 2017-06-26 |
| 1346627270 | Wellness Counseling & Residential Detoxification Services | Substance Abuse Rehabilitation Facility | 3650-3670 Ne Indian River Drive, Jensen Beach, FL 34957 | 2015-04-29 |
| 1891085981 | Geri Deanne Motes | Massage Therapist | 736 Ne Jensen Beach Blvd, Jensen Beach, FL 34957 | 2011-04-11 |
| 1477866358 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1764 Ne Jensen Beach Blvd., Jensen Beach, FL 34957 | 2010-07-20 |
| 1902123771 | Jennifer Leigh Legg | Pharmacist | 1114 Ne Jensen Beach Blvd., Jensen Beach, FL 34957 | 2010-05-03 |
| 1144450305 | Sharon D Schweiger | Occupational Therapist | 3992 Nw Cinnamon Tree Cir, Jensen Beach, FL 34957 | 2009-07-22 |
| 1821227778 | Jensen Physical Therapy Inc. | Preventive Medicine | 702 Jensen Beach Blvd., Jensen Beach, FL 34957 | 2009-07-13 |
| 1386879260 | Clifford Francis Christiansen | Social Worker | 9550 South Ocean Drive, Suite #1506, Jensen Beach, FL 34957 | 2009-05-21 |
| 1033351317 | Danilo Augusto Duenas | Psychiatry & Neurology | 9900 S. Ocean Dr., (601), Jensen Beach, FL 34957 | 2009-04-01 |
| 1730324575 | Diana Bernabei-macchia | Early Intervention Provider Agency | 85 Ne Elderberry Ter, Jensen Beach, FL 34957 | 2008-12-09 |
| Find all providers in zip 34957 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | JENSEN BEACH |
| Zip Code | 34957 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.