FORT PIERCE INTERMEDIATE CARE CENTER (NPI# 1184753758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184753758 |
| Entity Type | Organization |
| Organization Name | FORT PIERCE INTERMEDIATE CARE CENTER |
| Other Organization Name | FORT PIERCE WALK-IN MEDICAL CLINIC |
| Practice Address |
900 Virginia Ave Suite 10 Fort Pierce FL 34982-5882 |
| Practice Telephone | 7724646551 |
| Practice Fax Number | 7724650322 |
| Mailing Telephone | 7724646551 |
| Mailing Fax Number | 7724650322 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CRAIG WALKER (VP) |
| Authorized Official Telephone | 8006613365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fort Pierce Walk-In Medical Clinic | Doing Business As Name - Organization |
| Street Address |
900 VIRGINIA AVE SUITE 10 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34982-5882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164483715 | John Joseph Brant | Physical Therapist | 900 Virginia Ave, Fort Pierce, FL 34982-5882 | 2006-03-31 |
| 1164630091 | Jeffrey S Gottfried Do Pa | Family Medicine | 900 Virginia Ave, Suite 10, Fort Pierce, FL 34982-5882 | 2007-05-21 |
| 1174666481 | Aurore Rezk | Dentist | 900 Virginia Ave, Suite # 4, Fort Pierce, FL 34982-5882 | 2007-02-15 |
| 1568531077 | Joyner Sports Medicine Institute Inc | Clinic/Center | 900 Virginia Ave, Suite 1-3, Fort Pierce, FL 34982-5882 | 2006-11-07 |
| 1639255516 | Jeffrey S Gottfried | Family Medicine | 900 Virginia Ave, Suite 10, Fort Pierce, FL 34982-5882 | 2006-10-31 |
| 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 |
| 1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
| 1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
| 1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
| 1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
| 1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
| 1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
| 1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
| 1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
| 1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
| Find all providers in zip 34982 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396166252 | M Care Medical Center Inc. | General Practice | 850 S 21st St, Suite B, Fort Pierce, FL 34950-4893 | 2013-12-19 |
| 1922363043 | Stanley Pala | General Practice | 4180 N Hwy A1a, #505, Fort Pierce, FL 34949-8380 | 2012-07-05 |
| 1538427984 | Eavans Duroseau | General Practice | 506 N 7th St, Fort Pierce, FL 34950-8228 | 2012-04-23 |
| 1104031061 | Kendis Archer | General Practice | 1506 Barcelona Ave, Fort Pierce, FL 34946 | 2007-05-14 |
| 1679665814 | Juan D. Maldonado | General Practice | 1404 S 28th St, Fort Pierce, FL 34947-6999 | 2006-09-28 |
| 1396171633 | Sarang Hadaegh | General Practice | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2013-09-18 |
| 1538439559 | Chacko Nebu | General Practice | 2401 Frist Boulevard, Suite One, Fort Pierce, FL 34950 | 2012-01-06 |
| 1861788036 | Tj Medical LLC | General Practice | 1905 S 25th St, Suite 100, Fort Pierce, FL 34947-4739 | 2011-06-25 |
| 1316233588 | Fp Medical | General Practice | 1905 S 25th St, Suite 100, Fort Pierce, FL 34947-4739 | 2011-06-25 |
| 1952547721 | Guillermo G Coquelet | General Practice | 4640 S 25th St, Fort Pierce, FL 34981-5057 | 2008-12-30 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34982 |
Please comment or provide details below to improve the information on FORT PIERCE INTERMEDIATE CARE CENTER.
| 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.