Organization
SURAMED HEALTH CENTER, PA
Active
Other names
SURAMED HEALTH CENTER PA PORT SAINT LUCIE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO J HENRIQUEZ MD (PEDIATRICS)
(772) 204-2909
Entity
Organization
Contact information
Practice address
683 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-1998
(772) 204-2909
(772) 785-8138
Mailing address
683 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-1998
(561) 275-7100
(561) 275-7199
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009406903
—
FL
Enumeration date
06/22/2020
Last updated
12/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us