# FLORIDA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1235453168
- **Authorized official:** DR. MANUEL DE JESUS GAINZA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (772) 224-2467

## Contact information

- **Practice address:** 10616 S FEDERAL HWY, PORT ST LUCIE, FL 34952-6401
- **Practice address phone:** (772) 224-2467
- **Mailing address:** 10616 S FEDERAL HWY, PORT ST LUCIE, FL 34952-6401
- **Mailing address phone:** (772) 224-2467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME86679 | FL | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/22/2010