# FAMILY MEDICAL PRACTICE OF THE TREASURE COAST PA

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

## Provider details

- **NPI number:** 1811183668
- **Authorized official:** DR. JAMES ALFRED ROBERTS M.D. (OWNER)
- **Authorized official phone:** (772) 468-9901

## Contact information

- **Practice address:** 2100 NEBRASKA AVENUE, STE 205, FORT PIERCE, FL 34950
- **Practice address phone:** (772) 645-9901
- **Practice address fax:** (772) 465-9870
- **Mailing address:** PO BOX 12250, FORT PIERCE, FL 34979-2250
- **Mailing address phone:** (772) 645-9901
- **Mailing address fax:** (772) 465-9870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME0034175 | FL | Yes |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 05/25/2018