COQUELET AND PUNGER FAMILY MEDICINE PA (NPI# 1134283138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134283138 |
| Entity Type | Organization |
| Organization Name | COQUELET AND PUNGER FAMILY MEDICINE PA |
| Practice Address |
4640 S 25th St Fort Pierce FL 34981-5057 |
| Practice Telephone | 7724668832 |
| Mailing Telephone | 7724668832 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-03-17 |
| Authorized Official Name | MRS. DENISE S DINOCOLA (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7724668884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS6690 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ME68275 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | 74659 | 01 |
| FL | 269585500 | 05 | |
| FL | RAILROAD MEDICARE | DD5441 | 01 |
| FL | SOUTHCARE-COVENTRY HEALTH | 23089 | 01 |
| Street Address |
4640 S 25TH ST |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34981-5057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398994 | Denise Lynne Punger | Family Medicine | 4640 S 25th St, Fort Pierce, FL 34981-5057 | 2005-07-05 |
| 1245722552 | Kerry Egan Amato | Nurse Practitioner | 4640 S 25th St, Fort Pierce, FL 34981-5057 | 2018-06-01 |
| 1114354032 | Jce Family Medicine LLC | Clinic/Center | 4640 S 25th St, Fort Pierce, FL 34981-5057 | 2013-10-09 |
| 1447503255 | Punger Family Medicine, LLC | Family Medicine | 4640 S 25th St, Fort Pierce, FL 34981-5057 | 2012-10-17 |
| 1477796589 | Sarah Elizabeth Mayer | Nurse Practitioner | 4640 S 25th St, Fort Pierce, FL 34981-5057 | 2009-04-20 |
| 1952547721 | Guillermo G Coquelet | General Practice | 4640 S 25th St, Fort Pierce, FL 34981-5057 | 2008-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477033173 | Florida Center for Recovery Inc. | Clinic/Center | 3463 W. Midway Rd., Ft Pierce, FL 34981 | 2018-08-21 |
| 1003225996 | Beth A Hutchinson | Occupational Therapy Assistant | 4715 Kirby Loop Road, Fort Pierce, FL 34981 | 2014-08-05 |
| 1538419106 | Jessica Lynn Brinkerhoff | Social Worker | 2920 S 25th St., Ft. Pierce, FL 34981 | 2012-09-11 |
| 1407105620 | Shanedelle Norford | Pathology | 2500 S 35th St, Fort Pierce, FL 34981 | 2012-09-04 |
| 1710271333 | Fort Pierce Family Care, Inc. | Clinic/Center | 3851 Virginia Avenue, Fort Pierce, FL 34981 | 2011-05-31 |
| 1194030155 | Grace Therapies, LLC. | Speech-Language Pathologist | 4715 Kirby Loop Rd, Fort Pierce, FL 34981 | 2010-08-15 |
| 1184817934 | John Anthony Schwerer | Dentist | 4634 S 25th St, Ft Pierce, FL 34981 | 2007-08-24 |
| 1134299753 | Associated Coastal Ear Nose & Throat Physicians Pa | Otolaryngology | 4632 S. 25th Street, Fort Pierce, FL 34981 | 2006-11-09 |
| 1720180912 | Mary E Thomas | Social Worker | 4500 West Midway Road, Fort Pierce, FL 34981 | 2006-09-01 |
| 1598876088 | Hospice of The Treasure Coast Inc | Hospice Care, Community Based | 5000-5090 Dunn Road, Fort Pierce, FL 34981 | 2006-08-31 |
| Find all providers in zip 34981 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
| 1033766027 | Md Primary Care Inc | Family Medicine | 2215 Nebraska Ave Ste 2-b, Fort Pierce, FL 34950-4866 | 2019-08-23 |
| 1841852266 | Misty V Gaddis | Family Medicine | 900 N Rock Rd, Fort Pierce, FL 34945-3483 | 2019-07-05 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1518271345 | Oswaldo D Benitez Md Pa | Family Medicine | 408 S 25th St, Fort Pierce, FL 34947-3638 | 2010-08-04 |
| 1053533760 | Percy D. Kepfer | Family Medicine | 4018 Greenwood Dr, Fort Pierce, FL 34982-6151 | 2007-05-03 |
| 1538245758 | Oswaldo Daniel Benitez Sr. | Family Medicine | 408 South 25th Street, Fort Pierce, FL 34947 | 2006-10-31 |
| 1932281367 | Robert Anderson Pllc | Family Medicine | 778 W Midway Rd, Fort Pierce, FL 34982-4203 | 2006-10-19 |
| 1629171988 | Darshan N Shah | Family Medicine | 2339 S Us Highway 1, Fort Pierce, FL 34982-5920 | 2006-09-05 |
| 1043242787 | James A Roberts | Family Medicine | 1301 N Lawnwood Circle, Fort Pierce, FL 34950 | 2006-07-06 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34981 |
Please comment or provide details below to improve the information on COQUELET AND PUNGER FAMILY MEDICINE PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.