Organization
TREASURE COAST MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI PATEL (MANAGING DIRECTOR)
(561) 795-9845
Entity
Organization
Contact information
Practice address
8980 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-3482
(561) 795-9845
(561) 795-8791
Mailing address
3343 STATE ROAD 7, WELLINGTON, FL 33449-8002
(561) 795-9845
(561) 795-8791
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
06/10/2010
Last updated
08/12/2010
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