Organization
NEW HORIZONS OF THE TREASURE COAST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J JACKSON (PRESIDENT/CEO)
(772) 468-5600
Entity
Organization
Contact information
Practice address
4500 W. MIDWAY ROAD, FT. PIERCE, FL 34981-4823
(772) 468-5600
(772) 468-5606
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 468-5600
(772) 468-5606
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
FL
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
363A00000X
Physician Assistant
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00707
BLUE CROSS OF FL
FL
05
—
060316300
—
FL
01
—
157081
MANAGED HEALTH NETWORK
—
01
—
195893
AMERIGROUP
FL
01
—
E16
BLUE CROSS OF FLORIDA
FL
01
—
NI191
HEALTHEASE
—
Enumeration date
08/29/2006
Last updated
12/12/2025
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