PCA TECH CORP (NPI# 1285838128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285838128 |
| Entity Type | Organization |
| Organization Name | PCA TECH CORP |
| Practice Address |
8483 S Us Highway 1 Ste 19 Port St Lucie FL 34952-3360 |
| Practice Telephone | 7728731770 |
| Practice Fax Number | 7728731313 |
| Mailing Telephone | 7728731770 |
| Mailing Fax Number | 7728731313 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GENEVIEVE CARIDAD FERNANDEZ (CHIEF EXEC. OFFICER) |
| Authorized Official Telephone | 7728731770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
8483 S US HIGHWAY 1 STE 19 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-3360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247483 | Juan Guillermo Coquelet | Family Medicine | 8483 S Us Highway 1, Suite 19, Port St Lucie, FL 34952-3360 | 2005-07-05 |
| 1295064418 | Crystal Noelle Donato | Nurse Practitioner | 8483 S Us Highway 1, Suite 19, Port St Lucie, FL 34952-3360 | 2009-12-17 |
| 1487893343 | Carolyn A Rawdon | Registered Nurse | 8483 S Us Highway 1, Ste 19, Port St Lucie, FL 34952-3360 | 2009-02-16 |
| 1770730459 | St Lucie Surgical Associates Pa | Surgery | 8483 S Us Highway 1, Suite 19, Port St Lucie, FL 34952-3360 | 2008-08-25 |
| 1386746063 | Ian A Concilio | Surgery | 8483 S Us Highway 1, Suite 19, Port St Lucie, FL 34952-3360 | 2006-09-02 |
| 1285689216 | Primary Care Associates Pa | Internal Medicine | 8483 S Us Highway 1, Suite 19, Port St Lucie, FL 34952-3360 | 2006-05-25 |
| 1992751762 | Sandra Ripper-brown | Nurse Practitioner | 8483 S Us Highway 1, Suite 19, Port St Lucie, FL 34952-3360 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948129 | Heavenly Slayerz Boutique | Durable Medical Equipment & Medical Supplies | 6120 Forest Hill Blvd Apt 110, West Palm Beach, FL 33415-6260 | 2020-10-05 |
| 1649884297 | Dbl Mobility Care Inc | Durable Medical Equipment & Medical Supplies | 132 Sw Monterey Rd, Stuart, FL 34994-4610 | 2020-09-01 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1255956744 | Synergy Health Care and Associates | Durable Medical Equipment & Medical Supplies | 124 Marriott Dr, Tallahassee, FL 32301-2995 | 2020-06-10 |
| 1770118705 | New Regeneration Orthopedics of Florida, Pllc. | Durable Medical Equipment & Medical Supplies | 20754 W Dixie Hwy Unit 2c, Miami, FL 33180-1146 | 2020-03-10 |
| 1770118309 | 6th St. Bridge Mobility and Home Care LLC | Durable Medical Equipment & Medical Supplies | 7818 Depot Ln, Tampa, FL 33637-6810 | 2020-03-04 |
| 1033741681 | 123germfree, LLC | Durable Medical Equipment & Medical Supplies | 4537 Prime Ter, North Port, FL 34286-7707 | 2020-02-11 |
| 1053951632 | Somnia Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 205 Zeagler Dr Ste 301, Palatka, FL 32177-3860 | 2020-01-10 |
| 1700433067 | Beyoutiful Custom Wigs and Makeup | Durable Medical Equipment & Medical Supplies | 276 N Market Blvd, Webster, FL 33597-9441 | 2019-08-21 |
| 1437710688 | Myrna Rogers | Durable Medical Equipment & Medical Supplies | 11636 Linda Ln, Dade City, FL 33525-8405 | 2019-06-27 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on PCA TECH CORP.
| 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.