Organization
DT CLINICAL PORT ST LUCIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYON ALMEIDA (COO)
(561) 623-5320
Entity
Organization
Contact information
Practice address
1214 SW GATLIN BLVD UNIT 103, PORT ST LUCIE, FL 34953-4216
(772) 232-8186
(561) 922-7001
Mailing address
1214 SW GATLIN BLVD UNIT 103, PORT ST LUCIE, FL 34953-4216
(772) 232-8186
(561) 922-7001
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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