# PRIMA VISTA WALK-IN MEDICAL CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1952423113
- **Authorized official:** MISS SYLVIA A. MENDOZA (PRESIDENT)
- **Authorized official phone:** (772) 878-7311

## Contact information

- **Practice address:** 784 E PRIMA VISTA BLVD, PORT ST LUCIE, FL 34952-2271
- **Practice address phone:** (772) 878-7311
- **Practice address fax:** (772) 878-7321
- **Mailing address:** 784 E PRIMA VISTA BLVD, PORT ST LUCIE, FL 34952-2271
- **Mailing address phone:** (772) 878-7311
- **Mailing address fax:** (772) 878-7321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 12/03/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 72956 | GRP \# FACILITY | FL |