FLORIDA ORTHOPEDICS AND NEUROSURGERY LLC (NPI# 1831611516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831611516 |
Entity Type | Organization |
Organization Name | FLORIDA ORTHOPEDICS AND NEUROSURGERY LLC |
Practice Address |
1855 Se Port St Lucie Blvd Port St Lucie FL 34952-5530 |
Mailing Address |
4343 N Us Highway 1 Fort Pierce FL 34946-6434 |
Practice Telephone | 7724672677 |
Practice Fax Number | 7724672621 |
Mailing Telephone | 7724672677 |
Mailing Fax Number | 7724672621 |
Enumeration Date | 2017-07-13 |
Last Update Date | 2017-07-13 |
Authorized Official Name | MICHAEL WYCOKI JR. (MANAGER) |
Authorized Official Telephone | 7724672677 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME81066 | FL | Ambulatory Health Care Facilities |
Street Address |
1855 SE PORT ST LUCIE BLVD |
City | PORT ST LUCIE |
State | FL |
Zip Code | 34952-5530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043226061 | Philip Lortz | Internal Medicine | 1855 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5530 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
Find all providers in zip 34952 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033357694 | Coast Pain Relief Center | Clinic/Center | 3233 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-3490 | 2009-02-04 |
1093841074 | Ernesto Barral Md, Pa | Clinic/Center | 1847 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5530 | 2007-02-26 |
1477809424 | Neuroscience and Sleep Disorders Center | Clinic/Center | 1405 Se Goldtree Dr, Suite B, Port St Lucie, FL 34952-7563 | 2012-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841809076 | Michelle P Gillespie Do Pa | Clinic/Center | 2330 W Horatio St Ste 200, Tampa, FL 33609-3590 | 2020-07-23 |
1508480864 | Amelia Respiratory and Sleep Medicine LLC | Clinic/Center | 1560 Park Ln, Fernandina Beach, FL 32034-1940 | 2020-06-02 |
1538781364 | Blue Lotus Endocrine Company Inc | Clinic/Center | 1101 E. Cumberland Ave, Ste 201h #128, Tampa, FL 33602-4231 | 2020-05-14 |
1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
1891327326 | Curative Care Center | Clinic/Center | 1978 Rockledge Blvd Ste 103, Rockledge, FL 32955-3722 | 2020-02-12 |
1427689975 | Integrity Spine & Orthopedics of Melbourne LLC | Clinic/Center | 1640 Highway A1a Ste C, Satellite Beach, FL 32937-5451 | 2020-02-03 |
1881234102 | Better Health and Rehab | Clinic/Center | 4136 Berkshire Loop, Lakeland, FL 33813-4465 | 2020-01-14 |
1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
Find all providers with the same taxonomy |
City | PORT ST LUCIE |
Zip Code | 34952 |
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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.