PHYSICIANS GROUP OF THE TREASURE COAST LLC (NPI# 1336654763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336654763 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS GROUP OF THE TREASURE COAST LLC |
| Practice Address |
3011 Sw Martin Downs Blvd Palm City FL 34990-2644 |
| Practice Telephone | 7722191355 |
| Practice Fax Number | 7722235110 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | CHRISTINA TUCKER (OWNER) |
| Authorized Official Telephone | 7722191355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3011 SW MARTIN DOWNS BLVD |
| City | PALM CITY |
| State | FL |
| Zip Code | 34990-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851881320 | Jeannie Theresa Jones | Counselor | 3011 Sw Martin Downs Blvd, Palm City, FL 34990-2644 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065609 | Aaron Montgomery | Counselor | 337 Sw Corporate Pkwy, Palm City, FL 34990 | 2020-05-21 |
| 1154977981 | Cassie Farnsworth | Speech-Language Pathologist | 6471 Sw Key Deer Lane, Palm City, FL 34990 | 2019-08-16 |
| 1770053357 | Molly Kathryn Kearns | Behavior Technician | 1765 Sw Captains Place, Palm City, FL 34990 | 2018-11-27 |
| 1114433604 | Invision Diagnostics of Florida LLC | Clinic/Center | 1025 Sw Martin Downs Blvd Ste 201, Palm City, FL 34990 | 2017-12-19 |
| 1235651167 | Stephanie Boniewski | Nurse Practitioner | 1713 Sw 32nd Terrace, Palm City, FL 34990 | 2017-07-12 |
| 1851840383 | Cynthia Gale Dinenna | Physical Therapist | 3539 Sw Corporate Pkwy, Palm City, FL 34990 | 2016-09-26 |
| 1174910970 | Elizabeth Reynolds | Nurse Practitioner | 1603 Sw Thelma Street, Palm City, FL 34990 | 2015-04-20 |
| 1669867495 | The Laboratory Company | Clinical Medical Laboratory | 2340 Sw Poma Dr, Palm City, FL 34990 | 2015-03-30 |
| 1851724983 | Brittney Whelihan Irwin | Nurse Practitioner | 8409 N Military Trail, Suite 126, Palm Beach Gardens, FL 34990 | 2013-08-13 |
| 1366874216 | The Lukens Institute. LLC | Substance Abuse Rehabilitation Facility | 3587 Sw Corporate Parkway, Palm City, FL 34990 | 2013-08-02 |
| Find all providers in zip 34990 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497198816 | Sunshine Doctors Group. LLC | Clinic/Center | 3531 Sw Corporate Parkway, Room 1, Palm City, FL 34990 | 2013-04-16 |
| 1407263833 | Comprehensive Health Specialists, LLC | Clinic/Center | 3662 Sw 30th Ave, Suite 2, Palm City, FL 34990-3720 | 2014-07-17 |
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| 1992318521 | Acuity Urgent Care | Clinic/Center | 310 Nesbit St, Punta Gorda, FL 33950-3828 | 2020-08-24 |
| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
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| 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.