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Organization
ST LUCIE MEDICAL SPECIALISTS LLC
Active
Organization
ST LUCIE MEDICAL SPECIALISTS LLC
Active
Other names
Heart and Family Health Institute of Port St. Lucie
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VP)
(954) 767-5716
Entity
Organization
Contact information
Practice address
1700 SE HILLMOOR DR, PORT ST LUCIE, FL 34952-7539
(772) 335-9600
(772) 335-9699
Mailing address
3 MARYLAND FARMS, SUITE 250, BRENTWOOD, TN 37027-5005
(800) 661-3365
(866) 689-4661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6458380001
MEDICARE DME
FL
Enumeration date
01/22/2008
Last updated
03/04/2011
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