Organization
CORAL WAY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LUBETSKY MD (PRESIDENT)
(772) 337-4430
Entity
Organization
Contact information
Practice address
1940 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5510
(772) 337-4430
(772) 337-4431
Mailing address
1940 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5510
(772) 337-4430
(772) 337-4431
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
11/02/2009
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