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Organization
ST LUCIE HOSPITALISTS LLC
Active
Organization
ST LUCIE HOSPITALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUNCAN (VP)
(954) 767-5716
Entity
Organization
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 398-1969
(772) 807-6229
Mailing address
3 MARYLAND FARMS, SUITE 250, BRENTWOOD, TN 37027-5005
(800) 661-3365
(866) 689-4661
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000775400
—
FL
01
—
DO8648
RR MEDICARE
FL
Enumeration date
03/03/2008
Last updated
05/04/2010
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