Organization
PHYSICIANS GROUP OF THE TREASURE COAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA TUCKER (OWNER)
(772) 219-1355
Entity
Organization
Contact information
Practice address
1131 SE INDIAN ST, STUART, FL 34997-5765
(772) 617-0124
(772) 223-5110
Mailing address
1131 SE INDIAN ST, STUART, FL 34997-5765
(772) 617-0124
(772) 223-5110
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
02/01/2021
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