Organization
ASHLEY EAST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LYNN EAST APRN (OWNER)
(772) 203-8811
Entity
Organization
Contact information
Practice address
1617 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5428
(772) 203-8811
Mailing address
1460 SE PORTILLO RD, PORT SAINT LUCIE, FL 34952-4984
(772) 203-8811
(877) 860-2786
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
04/08/2026
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