# WOMEN'S HEALTHCARE OF PORT ST LUCIE LLC

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

## Provider details

- **NPI number:** 1407882194
- **Authorized official:** GONZALO A ORIA M.D. (PHYSICIAN)
- **Authorized official phone:** (772) 337-4600

## Contact information

- **Practice address:** 1696 SE HILLMOOR DR, SUITE A, PORT ST LUCIE, FL 34952-7699
- **Practice address phone:** (772) 337-4600
- **Practice address fax:** (772) 337-7600
- **Mailing address:** 1696 SE HILLMOOR DR, SUITE A, PORT ST LUCIE, FL 34952-7699
- **Mailing address phone:** (772) 337-4600
- **Mailing address fax:** (772) 337-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 04/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 77952 | BCBSFL | FL |
| 01 | — | AA578 | MEDICARE | FL |