COMPREHENSIVE MEDICAL CARE OF THE TREASURE COAST, LLC (NPI# 1992045140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992045140 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE MEDICAL CARE OF THE TREASURE COAST, LLC |
| Practice Address |
6658 Se Woodmill Pond Ln Stuart FL 34997-8710 |
| Practice Telephone | 7726789664 |
| Practice Fax Number | 7722664601 |
| Mailing Telephone | 7726789664 |
| Mailing Fax Number | 7722664601 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2014-06-11 |
| Authorized Official Name | DR. SHIRLEY ZELIKOVSKY (CEO/ OPERATING PHYSICIAN) |
| Authorized Official Telephone | 7726789664 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME100234 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
6658 SE WOODMILL POND LN |
| City | STUART |
| State | FL |
| Zip Code | 34997-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861854671 | Tony Nguyen | Family Medicine | 1980 Se Ocean Blvd, Stuart, FL 34996-3302 | 2016-03-22 |
| 1679964555 | Metcare of Florida, Inc. | Family Medicine | 1233 Se Indian St, Suite 103, Stuart, FL 34997-5689 | 2015-02-12 |
| 1710295514 | Sandcastles Pediatric Records Services | Family Medicine | 506 S.w. Federal Highway, Suite 101, Stuart, FL 34994 | 2010-09-15 |
| 1336388750 | Jon F. Wubbena Md, Pa | Family Medicine | 3291 Se Court Dr, Stuart, FL 34997-6009 | 2009-02-09 |
| 1669649505 | Robert Isaac Levy | Family Medicine | 2099 Nw Pine Tree Way, Stuart, FL 34994-8829 | 2008-05-09 |
| 1053503789 | Melanie E Purres | Family Medicine | 2400 Se Monterey Rd Ste 300, Stuart, FL 34996-3351 | 2007-08-16 |
| 1033318217 | Greater Sandhills Family Healthcare, PC | Family Medicine | 110 W 2nd Street, Stuart, NE 68780-1701 | 2007-07-17 |
| 1891863981 | Cheryl H Jordan | Family Medicine | 900 Se Ocean Blvd # 215b, Stuart, FL 34994-2471 | 2006-11-30 |
| 1720181480 | Jaime Castellanos | Family Medicine | 1320 Se Palm Beach Rd, Stuart, FL 34994-4053 | 2006-09-07 |
| 1710995634 | Sarah Catherine Werner | Family Medicine | 6515 S Kanner Hwy, Stuart, FL 34997-6330 | 2006-08-04 |
| Find all providers in STUART | ||||
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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.