# DT CLINICAL PORT ST LUCIE

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

## Provider details

- **NPI number:** 1407775000
- **Authorized official:** BRYON ALMEIDA (COO)
- **Authorized official phone:** (561) 623-5320

## Contact information

- **Practice address:** 1214 SW GATLIN BLVD UNIT 103, PORT ST LUCIE, FL 34953-4216
- **Practice address phone:** (772) 232-8186
- **Practice address fax:** (561) 922-7001
- **Mailing address:** 1214 SW GATLIN BLVD UNIT 103, PORT ST LUCIE, FL 34953-4216
- **Mailing address phone:** (772) 232-8186
- **Mailing address fax:** (561) 922-7001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2026
- **Last updated:** 07/15/2026