# PREMISE HEALTH OF FLORIDA MEDICAL PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Lucie - Port St Lucie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518631654
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 1680 SE LYNGATE DR STE 101, PORT ST LUCIE, FL 34952-4300
- **Practice address phone:** (352) 483-9199
- **Practice address fax:** (352) 240-3907
- **Mailing address:** 5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2021
- **Last updated:** 02/11/2026