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.
Organization
PRIMARY CARE OF THE TREASURE COAST, INC.
Active
Organization
PRIMARY CARE OF THE TREASURE COAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK M LUTON MBA (CHIEF EXECUTIVE OFFICER)
(772) 567-6340
Entity
Organization
Contact information
Practice address
1265 36TH ST, VERO BEACH, FL 32960-6574
(772) 567-6340
(772) 567-6788
Mailing address
1265 36TH ST, VERO BEACH, FL 32960-6574
(772) 567-6340
(772) 567-6788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375002700
—
FL
Enumeration date
10/03/2006
Last updated
11/10/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up