# FLORIDAMEDCARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205897667
- **Authorized official:** DR. MANJULA NAYYAR M.D. (PHYSICIAN)
- **Authorized official phone:** (772) 342-6911

## Contact information

- **Practice address:** 1576 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5450
- **Practice address phone:** (772) 337-4578
- **Mailing address:** 1576 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5450
- **Mailing address phone:** (772) 337-4578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME39359 | FL | Yes |
| 207RP1001X | Pulmonary Disease Physician | ME30367 | FL | — |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 10/27/2010